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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> - City of Eugene <br /> ~ 244 E. Broadway <br /> ~J'C~.,Gr~- ~ e~ . <br /> ~ Eugene, OR 97401 <br /> 8 ~ ~ ~ (541) 682-5560 <br /> Sernce It: V// "7~ SID_ ~6 _ GL ~ JC ~ JE <br /> Project title: ('T ! L H .~.li~l ` /q ~i C <br /> (lorahon and work descnphon) <br /> Project manager /contact /private engineer: 1 1~ <br /> PROJECT SCOPE: ~~I~ ~ IZIC i°7~v~~c~~'1~1 ~t-F'?' <br /> Paving: Bike lanes /paths: <br /> (widths) (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 /> FUN~ING SOURCES: ~ f J ~ ~ ~ 7SQ <br /> City Assessments Private Other department <br /> SEE rib Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL W~ - _ <br /> j <br /> APPROVED: 7 <br /> Project Manager Date <br /> Principal Engineer Date 2~ <br /> Facilities Manager Date <br /> City Engineer Date ~ - Z~l ~ U <br /> FOR USE BY ADMINISTRcATION ONLY <br /> Capital Project No. ~ ~(~.Z. ACK 330-' /.3,3..~ ~ J~~~~ - ~G'S 3(~'2- <br /> GL Title ~1 l ~~m ~l~~ <br /> Assigned by ~ Date T ~ <br /> t ( ~ r <br /> Accounting by Date <br /> ,,,,~~~~A!!l!TTACHM ENTS: <br /> <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 l~ Map <br /> ? File Request Form / - <br /> ENG 415 WHITE /Finance YELLOW /Administration File .PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />