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~ ~~-7 ~ I <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ' ' L'~?S~ "r~,,,,$'`~' ~ 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> / / / (541) 682-5560 <br /> Service ID: ~ g~ ~ SID PB ~ GL JC y JE <br /> <br /> . Project title: ~ ~lO~i~ <br /> (location and work descnpt~on) - <br /> Project manager /contact /private engineer: ~I , ~C ~ <br /> PROJECT SCOPE: <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 SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / NTERDEPARTMENTAL WORK DESCRI TION: <br /> (?Yl <br /> t, _ , 3 ZD a'D'~ <br /> ~e <br /> ~k ©~O o <br /> APPROVED: <br /> Project Manage Date ~ l 7 ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ Usk ~ ~ ACK f ° g ~ !~q I ° 4`~ <br /> GL Title ~XA~nSiese~ ~/tr nn>rtc~ <br /> Assigned by VL~ X Date ~ ~ <br /> 1f <br /> Accounting by Date <br /> ATTACHMENTS: <br /> (1 i ? 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 />