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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~ City of Eugene <br /> 244 E. Broadway <br /> - ` Eugene, OR 97401 <br /> ~C _ / (541) 682-5560 <br /> Service ID: .~-7 7 SID ~ PB ~GL _ JC JE _ <br /> Project title: r ~i <br /> (location and work description) ~ {,q~~~ ~ <br /> Project manager /contact /private engineer: N D~~~iiK ~ L~ D <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: e q~..~-5^" <br /> Ciry ~ ~L~ ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM ENTS /SPECIAL PROJECT IN O. / INTERDEP RTMENTAL WORK DESCRIPTION: <br /> ~11ti1 <br /> APPROVED: - <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. vl 15~~oa- AcK X3/0 4335 X ~cxXx 915a~~a <br /> GL Title ~Q-r~ ~ _ 5DG ~i.~ndec? ~~G~nnl A <br /> Assigned by Date ~ ~ I I ~DLa <br /> ,Accounting by r ~ <br /> Date a°2 <br /> ATTACHMENTS: <br /> . ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> Lal City rtgineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File R uest Form <br /> <br /> f ~ <br /> ` ~NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 - <br /> _ _ <br /> <br />