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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> G City of Eugene <br /> /-t~ c ~5c,.~ ~~~244 E. Broadway <br /> (~1,.~,+ g 7 ~ Eugene, OR 97401 <br /> Service ID: ~Q 3 / ~ ~ _ / (541) 682-5560 <br /> <br /> ~~2(~ 02~- SID_ PB - GL _ JC _ JE _ <br /> Project title: G 1'Lo SS iV ~'1"s-}c, (L „o <br /> (location and work description) <br /> Project manager /contact /private engineer: G A-~-2_. {M r L L.~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: ~ 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 /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Accou t co <br /> Fed /State / County ~ ~A-f4 ~ O ~ t4-~ y fJ e v ~ D°~ (P~C 1 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~p ~ w <br /> b S <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date lZ y ~ <br /> Facilities Manager Date <br /> City Engineer Date - ~ Z ~ 'wr? <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9 I ~4 ACK ~ <br /> I~ J ~ ~C x JC~C ~L g%~~ ~aL- <br /> GLTitle ~ ~ ~ GC t ~ GX~-C?v~ ~~n <br /> Assigned by Date <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />