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I~ROJECT AUTHORIZATION FORM <br /> Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ S (541) 68 -5560 <br /> SID ~PB ~ GL ? JC ~ JE ~ C i ~ACC~sS ? <br /> Proje:;t title: <br /> o ~ C d ~ rl~ <br /> (location and work description) <br /> ~ /~O /r/f s K <br /> Project manager /contact /private engineer: - s~v~ ~ ~1y,0 <br /> i <br /> PROJECT SCOPE: <br /> Paving: <br /> I (w;drns) Bike lanes /paths: <br /> <br /> i Concrete walks: (w/drn) <br /> (renyrn) w,drn) Setback /Curbside <br /> Sanitary sewer Storm sewer ~~F <br /> S <br /> Landscaping <br /> Signal Street tights <br /> ROW required <br /> New building construction Planning, other <br /> Remodel <br /> FUNDING SO RCES: <br /> Clty Assessments Private <br /> Other department <br /> Fed /State /County /FAA Account code <br /> COM~M-E/NTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESC PTION: ~ fixed) <br /> q ~L ~ <br /> ~ ~ re /s ~ <br /> J P <br /> r <br /> APPROVED: <br /> Project Manager <br /> Principal Engineer Date 3 <br /> Facilities Manager Date ~ -7-'l~ f~ f' <br /> Date j <br /> City Engineer <br /> Date ~-S -Oa <br /> i <br /> r <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. 9~~~~c0 ACK 5~ ~ ~ ~CS()(,~'C L~~~`,~' <br /> GL Title 2Z I G~V'C'~ ~ ~~~e ~bf~ <br /> Assigned by <br /> Date - <br /> Accounting by <br /> Date ~ <br /> ATTACHMENTS: <br /> 'Budget Estimate ? Developer Agreement <br /> ? SDC Budget Worksheet ? Engineer's Report On Improvement Petition <br /> ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map i <br /> File Request Form ~ _ <br /> ENG 415 I y <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> t <br /> <br />