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PROJECT AUTHORIZATION FORM Engineering <br /> - Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> n L., ' / (541) 682-5560 <br /> Service ID: ~'~Ob ~~T~7 SID ~ PB ~ GL JC ~ JE <br /> Project title: ~r ~1 ~ ~~L~~~ ~N ~ ~"W~` <br /> (location and work description) ~r~ ~~.11 ~ ~ <br /> Project manager /contact /private engineer: 73(~n~'~/ I"t~~~TL~~' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wldrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> ~ (length) (width) <br /> Sanitary sewer ~ 1? Storm sewer Landscaping <br /> Signai Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments t~ ~ ~ Ot r department <br /> ccount code <br /> Fed !State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t <br /> rt~X t.~' I~©~~k Oo~o2. 1-I~ Wtt.(_ fem. S~iA~~y. Tom. ~T~ owt~. uUut, <br /> ~ ~ ~ T T 'F+o w ~ i a~ e. 4 <br /> V~u.t- ~ o~ d~ ~ ~~u,rvU/ <br /> APPROVED: ~ <br /> Project Manager Date~~ - <br /> Principal Engineer Date ~ <br /> ~T ~ C~ <br /> Facilities Manager ~ Date <br /> City Engineer ~ - .,~r.`~~~~~~ Date ~ - <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3 f ACK ls~ 3~ %3~~ °~~Z'g(o0 <br /> GL Title /~y~~ ~l~ / <br /> Assigned by Date ~ ~ ° fg' ~ <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 /> ? File Request Form <br /> <br /> i <br /> <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />