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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ? C,~S 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: SID ~PB ~ GL ~ JC ~ JE ~ (541) 682-5560 <br /> Project title: 8 L9u-#e So~i"ti ~ l.4~e I <br /> (location and work description) <br /> Project manager /contact /private engineer: ~I~2 ~ e LGS l TE.~:~ ~t~t1~? ~ <br /> PROJECT SCOPE: <br /> Paving: Qevr.ouQ.. ~ b R..a~v~~ pl~tJeYti'~2~'r~ike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (len9ih) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~ c Account code <br /> Fed /State /County /FAA ~ d!a ~79'~ ~ d a /a /9-1 ?cpp r'~" fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ' <br /> r~ <br /> APPROVED: j~ ~ ~b~l.e, / <br /> Project Manager~lC""p'~'-""' ~ ~ / /iT~ ~ Date g< 2 ~ro ~ ~ <br /> Princi al En ineer <br /> P 9 Date <br /> Facilities Manager Date <br /> City Engineer Date y Z~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ d~© 2'2.~ ACK Spa ~ XXxXX 9/S~aa• <br /> a~ cc-- Qn <br /> ~ GL Title RA~ ' ~ C!!#1° .lo • '`QMD <br /> <br /> 5 Assigned by ~ Date 5ls/00 <br /> Accounting by j I 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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /.Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />