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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> n 244 E. Broadway <br /> .~CC e5S Eugene, OR 97401 <br /> Q - / (541) 682-5560 <br /> Service ID: 3-` SID_ PB ~ GL _ JC JE _ <br /> Project title: ~~-o 14-?. r A a ~ - ~2 uV~ t,J p L ~X, (J~ 1.1 i S t ~ 200 ~ <br /> (location and w descnptron) <br /> Project manager /contact /private engineer: ~AI. Imp l.,l..S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wldrns) (wlarn) <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 /> Account code <br /> Fed /State /County /FAA ~i v ~JOift•'~ PAC Q ot..,52~je S fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Qvo I D•,1- w ~ l '-['erzav.~a.yC._ ~td[d~N ~ R?era ~ <br /> C.~ . ~-s.Q s s~ o N s <br /> r <br /> APPROVED: <br /> Project Manager °~1i`-~ Date. 2 ~ <br /> Principal Engineer Date i2 <br /> Facilities Manager Date <br /> City Engineer Date f Z `5- ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. q t 5 O"12 ACK ~ ~ XXX XX <br /> GL Title ' ~,~?~"M r/FC~..~ ~/Yi!Prl~'~o2~tC~~"S <br /> Assigned by ~ Date _ l~ ~ _ <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 /> _ <br /> <br />