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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> - 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID ~ PB ~ GL ~ JC v JE <br /> f <br /> Projecttitle: ~ ~ 24~i If734-tea=~ 7~~4~` <br /> ~i~ (~l¢a1~ <br /> (toca(ion and work d cripti n) / <br /> Project manage~~/contact /private engineer: ~ ~~~'~`~~~~t~ <br /> PROJE..,..-C-=Ty~SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete ytalks: Setback /Curbside <br /> v~~,q,~j (lengt,) (width) <br /> Sarnta sewer ~~300 1..~> Storm sewer Landsca in <br /> rY <br /> P 9 <br /> <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: 53a 9332 <br /> City ~ Assessments Private Other department <br /> \\C~ ~ ~ t.1 20, Ot~C7 4! to ~'.G(r~-fz- Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ Is r.~~s~, ~ - ~ <br /> F ` ~ s <br /> APPROVED: <br /> Project Manager Date f a <br /> Princi al En ' o <br /> rneer p <br /> ~,U <br /> P 9 ate <br /> Facilities Manager Date <br /> City Engineer Date ~-"~2-`O~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> xxxx <br /> Capital Project No. ~ ~ SoB~ ACK ~ 3 2 ~3 32- ~~s ~ <br /> GL Title L(J Gy ~P~IQ~ ~J ~~QY~'" ~~(UG <br /> Assigned by ~ Date 3~j~,~~~ <br /> V /P --1 <br /> Accounting b ~ ~ /f ~Z~'~'~~ Date ~ <br /> ATTACHMENTS: ~ <br /> 'Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Peti,~n <br /> SDC Budget Worksheet ? Engineering Agreement Engineering Service Work fequ~st ~ ~ <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 JAPo" ' 1~ <br /> <br />