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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> A~CCES$ ~ 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> <br /> _ <br /> 1~~ V/ ~ ~ (541) 682-5560 <br /> Service ID: S'I.D~_y~PyB GL ?A 'JC _ JE <br /> Project title: ~ ~~7~ ` ~ ~v ~t V f c5~ ~I <br /> (location and work description) ~ J <br /> Project manager /contact /private engineer: GJ ~ ` \l ZS <br /> PROJECT SCOPE: <br /> 21 ~ 2'~7 I 2 ~ ~ <br /> P <br /> avin I <br /> 9 Bike lanes / aths: <br /> '~T ~ (widths) ~ O p ~ <br /> V (width) <br /> Concrete walks: Setba /Curbside S <br /> y~,g't~~~, ~ (le 1 ~ A (width) <br /> ~ l~- ~ _ Storrr~ ~ O 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 /> j <br /> YtA ~nr ~2 <br /> i <br /> <br /> ~ APPROVED: <br /> Project Manager Date-~~~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 31 ~9~ ~ ACK (031 ~33D XXXX~. 3~39D I <br /> GLTitle Ros~Q ~u.bdtUt5lDv1 <br /> Assigned by ~~~~N~ Date ~ I ~ Z~D(~ <br /> r- <br /> Accounting by ~ I Date l ( <br /> ATTACHMENTS: <br /> ~ " ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> `~°4 ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> l~File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />