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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> y~ / City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID:~ ~ ~ SID PB ~ GL _ JC ~JE _ <br /> Project title: !'T ~a ~~',~tlh~yto°L~~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ ® L ~ ~l ~C-f~~-- <br /> PROJECT SCOPE: ~ ~i~~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> <br /> _ New building construction Planning, other Remodel <br /> FUNDING SOURCES: i't~Siysi <br /> City Assessments Private Other department <br /> pc~C~~ ~il°~,~t~(C--~- i Lea-r~~+Be.~...d?~ 12~''~o.,~Q Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WQRK DESCRIPTION: <br /> , <br /> ~f " _ <br /> i~®, <br /> ~ '6' <br /> m <br /> APPROVED: ; <br /> Project Manager Date <br /> Principal Engineer -f Date 1 ` ~ t~ <br /> Facilities Manager ~ Date ~ <br /> City Engineer Date l~ l Z$ l00 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~«212- ACK i <br /> GL Title ~J~+~a" -.~~lC ~ FR1 ~`S' <br /> Assigned by Date II ~ <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 ~1~) <br /> `File Request Form l <br /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> <br />