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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> u , City of Eugene <br /> ~ ' ~S 4' 244 E. Broadway <br /> •~L~(oEs'.~` Eugene, OR 97401 <br /> / (541) 682-5560 <br /> Service ID: ~ ~ SID PB ~ GL ~ JC _ JE _ <br /> Project title: °r"~ I " ' <br /> (location~~ no ~ V I ~ \ !/1 r J~®t"~° r v ~ ~ ` ~ 1~~1 L ~'V V ~ ~ ~-4 <br /> Project manager /contact / ~pZ;r~iv'ate engineer: r~~C~ ~ C <br /> ~ <br /> PROJECT SCOPE: ~ ~ ~ <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> ~~r (length) (widtrh) <br /> er Storm 12 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 /> <br /> i <br /> APPROVED: /q <br /> Project Manager Date-_~~ys 0 <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date ~O~r3~00 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ $q I ACK _ ~ ~ ~ Q 2J3~ X Kx~ 37 3 S q I <br /> GL Title C' ~lt~. ~c5~'Gt~'2$ <br /> Assigned by _ ~0%taN ~QMI,I?1 Date (p~ZC7~00 <br /> Accounting by Date I I <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 /> Q~ <br /> ~~~\o~ <br /> _ <br /> <br />