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Y ` ' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ' 244 E. Broadway <br /> - ~ / Eugene, OR 97401 <br /> Service ID: ~ ~ ? ? / (541) 682-5560 <br /> SID_ PB _ GL _ JC _ JE <br /> Project title: ~ ~ P ~ el F ®'P <br /> (location and work descri ion) <br /> Project manager /contact /private engineer: ST E(/'te (9GL 6 <br /> PROJECT SCOPE: <br /> Paving: 1 / Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: F-- 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: ~/o~ ef33a`Z <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMTAL WORK DESCRIPTION: <br /> ~ y ~ ~ /?~'i~TrCt OM .S ~1~2 VAP <br /> ~ s a~ Cc ~ it 6i/' O ~C <br /> R Adr~ R l~ ~ 4~~'S 4 rF rte/' /i0a/i0a c!~?~ ~*f~i~lS <br /> i~ i( .a. ~ ^E/: C°s~'S%~, f~ /3 ds' l'o~s S~olce <br /> ~ T < Rc v' r~ ~ ~ d~'h !/W 04S/~/Nr' <br /> APPROVED: ~®~P'^,!; <br /> Project Manager Date ~~~1 <br /> Principal Engineer I Date ° <br /> Facilities Manager Date <br /> City Engineer ~ ~ Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ 5 ACK ~ ~ ~ ~ ~~XX '7/~~~~ <br /> GL Title fPl •'U F~° ~G~ ~i ~Llid~ <br /> Assigned by Date <br /> Accounting by ~ I 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 /> <br />