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PROJECT AUTHORIZATION FORM Engineerin <br /> 9 <br /> Public Works <br /> Ciiy of Eugene <br /> ~ 244 E. Broadway <br /> <br /> . Service ID: 3~ ~ / / Eugene, OR 97401 <br /> SID PB 1! ? ~ N~ (541) 682-5560 <br /> Project title: lA-t ? rj~, GL - JC JE <br /> (location and work escnption) ~ • ~ ~ • N <br /> Project manager /contact /private engineer: y~~{,Q~ <br /> PROJECT SCOPE: <br /> Paving: <br /> (widrns) Bike lanes /paths: <br /> Concrete walks: (widrn) <br /> nengtn) (widrn) Setback /Curbside <br /> Sanitary sewer <br /> Storm sewer Landscaping <br /> Signal <br /> Street lights ROW required <br /> New building construction <br /> Planning, other Remodel <br /> FUNDING SOURCES: <br /> Clty Assessments <br /> Private Other department <br /> Fed /State /County jj ~ ~ ~ ~ ~ d ~ Account code <br /> ~3- I ~ <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMEN AL WORK DESC IPR TION: ~ fixed) <br /> GcS - ~ ~ <br /> i,. ->f- <br /> ~ pa <br /> ` S Q <br /> I <br /> APPROVED: <br /> Project Manager_~~~~ ~ i' <br /> Principal Engineer-lslA~-Iti. ODo Date- ~ L~c~O <br /> Facilities Manager Date S = 2s - <br /> City Engineer Date <br /> Date ~ "~ca <br /> i <br /> f <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. rj O 7 <br /> ACK 5~2 933 XXXXX 4n5p72 <br /> GL Title ~ I ~d ( ~ ~ <br /> i. <br /> Assigned by <br /> P <br /> Date ~o ! O U <br /> Accounting by ~ <br /> Date <br /> ATTACHMENTS: <br /> Budget Estimate <br /> Ip <br /> i ? SDC Budget Worksheet ? Developer Agreement <br /> ? Engineer's Report On Improvement Petition ' <br /> ? City Engineer's Initiating Order ? Publ ce mprovementlPermit Ap lication ? Engineering Service Work Request <br /> ? File Request Form P Map <br /> ENG 415 j' <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD / Pro'ect Mana er <br /> i 9 JANUARY 2000 ' <br /> <br />