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L <br /> ' - I?ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / (541) 682-5560 <br /> Service ID:_ 3q~Oq SID PB ~GL~ JC J JE <br /> Project title: EAST 33 2D TEt1~F I _ 't,~L IfYt l ~l1(~r ~x <br /> (location and work description) <br /> <br /> i <br /> Project manager /contact /private engineer: ~U~ D~5/~ti.1Tl S <br /> <br /> i <br /> PROJECT SCOPE: <br /> Paving: _ ~~~Y <br /> % Bike lanes /paths: <br /> (widths) (wid ) <br /> Concrete walks: Vhf. Y ~ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDINGgSO~URCES: ~f ~®~1g~r ~S/.~y~ <br /> City X ~ Assessments Private Other department <br /> ~sr~~©~ <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I(o BU~F3-n TS, I ZvU4tJD 1D SPF.'E.9 ~-I,UmP~r~, <br /> ?P~~IUt~S L~GA'TI(»'~ <br /> APPROVED: <br /> Project Manager Date 3 <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~~v~ g3.3(p ,,~,~.xX 9/~ p~~ <br /> GL Title ~ <br /> ~ ~ C.Cc~~/YlI rt. <br /> Assigned by ' ~ Date ~ ~ <br /> Accounting y GZw~ 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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />