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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> C~~ ~ ~ f-tC~ss 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: g g ~S Slp ~pg ~ GL ~ JC JE N~A (541) 682-5560 <br /> Project title: t 2 tiO D ati-}- (1 ~ , ~ L ~ ~ ~ ~J ~ ~rn Q <br /> (location and work descnphon) Spy f f <br /> Project manager /contact /private engineer: rn L S <br /> PROJECT SCOPE: <br /> Paving: <br /> (W/drns/ Bike lanes /paths: <br /> Concrete walks: (W/drn/ <br /> (~enyrn/ Setback /Curbside <br /> Sanitary sewer lW'drn) <br /> Storm sewer Landscaping <br /> Signal Street lights <br /> ROW required <br /> New building construction Planning, other <br /> Remodel <br /> FUNDING SOURCES: <br /> Clty Assessments Private Other department <br /> Account code <br /> Fed /State /County ~~Q-fig. / ~ j ~ ~ ~ p <br /> fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> j c r~ ~ ~ ~~_-~~~i _ IA-GGG~ C ~G>i~~~ <br /> <br /> I _ 40, 0 O d 'f- <br /> APPROVED: <br /> Project Manager ~ ~/Qfl <br /> Date <br /> Principal Engineer <br /> Date <br /> Facilities Manager - <br /> Date <br /> City Engineer j <br /> Date ~ <br /> i <br /> i <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. 9 ~ ~ 3 D~„ ACK 933 SF X xxxx R D,5'3a2 <br /> GL Title P?P~ k1e.~lancl WL MntGMUr sYG (~D <br /> f <br /> Assigned by <br /> Date _ ~/~al0r] <br /> Accounting by ~ ~ ~ <br /> Date _ t'°/I JO[0 ~ <br /> i <br /> I <br /> ATTACHMENTS: <br /> J - Budget Estimate ? Developer Agreement ' <br /> ~SDC Bud et Worksheet ? Engineer's Report On Improvement Petition <br /> g ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map ~ <br /> ? File Request Form <br /> i <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 ' <br /> i <br /> <br />