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PROJECT AUTHORIZATION FORM Engineeri"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~j~~~ V Eugene, OR 97401 <br /> Q ~7 ~ ? , / (541) 682-5560 <br /> Service It: / "7~ SID_ ~e _ GL ~ JC ~ JE v_ <br /> Project title: ('7 ! L H .~.hr1 ` /4 SIG <br /> (location and work descnpbon) <br /> Project manager /contact /private engineer: L> 1 ~a ~C~~G <br /> PROJECT SCOPE: ~~j~Cr.'I~L._. ~~ia,,IZ)~ '~L=y~L..~~'I~i~J~{'~ <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING/I~SjO/URGES: ~ ~lp /7 ~ ~ ~f 7,SQ <br /> <br /> ~ City~_,'z=7"~ Assessments Private Other department <br /> ~~Ji? S~~ /t'~'~7<~ ~D Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: '7 7 <br /> Project Manager Date 3~l-°! " <br /> Principal Engineer Date 3` 28 <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ 2rl 4 D <br /> FOR USE BY AD -I"F118~` ATION ONLY <br /> Capital Project No. ~ ~~2- ~K 33 - 335- _ ~Q5 ~G'Z <br /> GL Title ~-1 r I him /~ltsrk~ \ <br /> Assigned by 'L(J Date _ 7 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ' _ j~Budget Estimate ? Develo erA reement <br /> p g ? 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 /> _ <br /> <br />