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<br /> a k <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> • ' Eugene, OR 97401 <br /> Service ID: ~ ~ SID ~ PB ~GL ~ JC ~ JE (541) 682-5560 <br /> Project title: 1a ~ <br /> ~'~J~ ~~~-1 V U' ~ ~ ~~C?~~'~ <br /> (location a d work description) l~ A n n y~ ~A~ nn~~ <br /> Project manager /contact /private engineer: S~®~~ ~ , ~ (f' 3 ~ l ~ W 1~~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ (length) `dr (width) <br /> ~:~a ~ 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 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~ Date ~ <br /> Principal Engineer Date ~ ~ <br /> Facilities Manag Date <br /> City Engineer ~ Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 373815 ACK X031 433 X~KjC 373915 <br /> GL Title 1~•t~/1 e~0 ftU2J1~.f.2 Cl~" ~OS21le f''?" <br /> Assigned by ~ Date 4~Z1~00 <br /> LI <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 /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />