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PRQJECT AU~'HORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> S ~ Ae~Q~S ,_.~t~. 244 E. Broadway <br /> V Eugene, OR 97401 <br /> ServicelD: ~ ? / (541)682-5560 <br /> SID_ ~6 _ GL _ JC ~ JE <br /> Project title: ~ ~ +~1~~,~°CL6 <br /> ~ <br /> Q_ <br /> (/ocahon and work-~escnphon) <br /> L.~1, L7~C.Q-P 6 ?..1, C-~ A~I..Is f~ 1 G-~ kit 1~.6 C-~. <br /> Project manager /contact /private engineer: f~f <br /> ~ <br /> (~,j,~,,~'y~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping~a~~Cn - ~~a41r'CI ~ . <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ,~o~! ge~.~S 9oSD! 02 <br /> City ~•®S • Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~-4.fi~ ~ pct. ~S~~n..i.b~P-4 <br /> ~C~I~~"c 1 <br /> APPROVED: <br /> Project Manager ~ Date ~ doh • <br /> Principal Engineer Date 1~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ! .Z <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ "I ~5 3~ ACK 3z 1 q 335 xXX ~C.X ~ t 53 2 2, <br /> GL Title 'I~EL Q <br /> Assigned by Date 1 P~ Z <br /> Accounting by Date 1 I ~ ~ ~ <br /> ATTACHMENTS: <br /> <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 />