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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> <br /> • A~,e~ ~ Eugene, OR 97401 <br /> 2 p~ (541) 682-5560 <br /> Service ID: I" j / n SID ~ PB ~ GL JC~1 JE _ <br /> Project title: ~ ~a V'~ f'" U w~,,Q ~~S"~i""~-i <br /> r~ v-~ y D ~ ra~c~ ~2... <br /> (location and work description <br /> Project manager /contact /private engineer: Yl(1.~ ~.0~ J S h ~ S <br /> PROJECT SCOPE: <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 /> New building construction Planning, other Remodel W` ~ <br /> FUDING SOURCES: <br /> Ci Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> e ' <br /> r~~ C~ C_ 0~:~.~ t~'~. ~ G' ~ ~/'tiLT~i cl ~r~ ~1.,! ~ CSI". <br /> APPROVED: <br /> Project Manager e ~ - Date <br /> Principal Engineer Date tZ` `f ` ~ <br /> Facilities Manager Date <br /> City Engineer Date Y <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~IS~~~ ACK ~d~ <br /> GL Title /i'-yji~frava ..S`~~ f3~p 1~~~~' <br /> Assigned by did /l~f'~'/ Gf ~ Date ~~/dam <br /> Accounting by Date <br /> ATTACHMENTS: <br /> 'Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 />