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' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541) 682-5560 <br /> Service ID: ~ ~ SIDS PB GL ~ JC ~n JE _ <br /> Project title: fty~'~ f ~ :~"~c3 ~ ~ ~ E, d' ~a ar. ~ ~ e tra ~ d ~ ya''1 <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ nth ~ f i~.,~ <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 f+r`~, ova <br /> ~n`I'" Remodel <br /> FUNDIN SOURCES: <br /> City Assessments Private Other department <br /> ~ 33, 2a8 mow` s Dv Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Chu ~D2. T2AC~.I,~ICz PU ~.PoSES Diu-{ - <br /> ND 1 hET P ! i~l J DE3 5rT <br /> APPROVED: / <br /> Project Manager ~ Date ~ ~ ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ ~ j ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. q~SD(o(o ACK 335 Q332 X~CXX~( Q 15bt'..a(p <br /> GLTitle ~ead~e~'s Sim MnAwt,~.} I~~an <br /> Assigned by ~ ~'j"' Date Q ~~L/DD <br /> Accounting by ~ f Date 1.3~DD <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 />