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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~C„ _ A A ~ City of Eugene <br /> l.!(..J3U ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ` (541) 682-5560 <br /> Service ID: ~ ~ SID ~PB ~ GL JC V JE _ <br /> Project title: ~ r ~ ~ A l <br /> (lo ~`,i~o~de~cdpti n ~ I ~ ~ Y~ dam- ~ a _ a <br /> Project manager / coVVntact /private engineer: _ ~t~/o~1 ~ ~ V~V <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) 6 (width) <br /> Concrete walks: Setback Curbside <br /> 111i!~ ~ ~ ( (length) (width) <br /> r Storm--se <br /> ver ~ ~ Landscaping <br /> Signal Street lights ~I~ ~ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ` ~ C <br /> Project Manag 9~-~° Date <br /> Principal Engineer E - ~ ~ Date ~ <br /> Facilities Ma r Date <br /> City Engineer Date '~'tL <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK 3 f X}CSCjCX ~`~J <br /> GL Title -~~rYt P~-eG 9~- ~u ~ /~I/~.. <br /> Assigned by Date ~ ~9 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ <br /> <br />