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PROJECT AUTHORIZATION FORM Engineeri"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> :3 ~ ~ ~ (541) 682-5560 <br /> Service ID: SID ~ PB ~GL ~ JC JE "t ~ <br /> Project title: r y ~ > ~~~I C7 <br /> (location and o description ~ <br /> I~®F~ <br /> Project manager contact /private engineer: M ~ ~.-0~.,~ ~ ~.e_, ~ c~ C <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) , (width) <br /> Sanitary sewer ~PcJ wlD 5 '~-t~r Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~D C.__ Assessments Private Other department <br /> . ~ Q"a/ O"Z~ O Account code <br /> Fed /State /County /FAA fixed) <br /> CO MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ( d c~-f-e r~ ri ~v `j-" <br /> a w~ ~ Y. a r~- <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ <br /> Principal Engineer ~Q~-- Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ! `t <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~~~5 ACK 33~ ~x X~CX ~/.`~L~~~ <br /> GL Title r~l~Y~ ~ <br /> Assigned by ~ Date /~/Cl <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> r ~ 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 />