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PROJECT AUTHORIZATION FORM Engineering <br /> <br /> • Public Works <br /> / / City of Eugene <br /> ~ >p~ ~~~J <br /> fa Y 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ (541) 682-5560 <br /> SID" PB ~ GL JC ~ JE <br /> Project title: ZD 5E <br /> (lo tion and work descri ion) <br /> v~k , r L rJ h~-YYI Ua <br /> Project manager /contact /private engineer: ~IXfJ 'YV F~ j5 ~~~5 p/~17.1 a t ti~/,~~~9~ <br /> PROJECT SCOPE: <br /> Paving: ~T~~'~ I•IJFL'~ (w~arns~ Bike lanes /paths: <br /> (wlarn/ <br /> Concrete walks: _I~-@~ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer _h-Ib Storm sewer 1~ Landscaping <br /> Signal ~Ib Street lights-h ROW required__1~-~ <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> Ci ~~~J Assessments Private Other department <br /> Z.CjD ~O 0 b Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r~_ ~ <br /> L . <br /> APPROVED: <br /> Project Manager~~~?~,~~„(.r/Y/ Date b <br /> Principal Engineer / _ Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 5a 3~- ACK ~ f 3 'l~,/~~l ° lC) 5? 3.~2 <br /> GL Title _ /'~/YiQZl3r/ ,f~lt.f,~ ~~1~ p~ <br /> Assigned by _ /~iX~77u Date 3~~lv~G® <br /> Accounting by <br /> 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 1 Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />