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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> ~ ~,ytd, City of Eugene <br /> GZ ~ ~~0~/O!~ 244 E. Broadway <br /> 3 C ~ ? ~ ~ ~ Eugene, OR 97401 <br /> 8 5 ? (541).682-5560 <br /> Service ID: SID_ PB - GL _ JC _ JE _ <br /> Project title: ~ Alec.-P a~7- ~ Nl~\,iAt~ 3 ~2,,> SH.V V~..I~ ~ SL-y2,(Lt,~ 5 L <br /> (location and work descnphon) <br /> Pro ct mana /contact /private engineer: ~ - \ `-L <br /> <br /> i <br /> PROJECT SCOPE: <br /> Pavin ~.v2.IR_ Z S ~ X? 3 $O ~ <br /> 9 <br /> `J (w~dtns) Bike lanes /paths: <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW re uired <br /> q <br /> New buil i <br /> d n construction <br /> 9 Planning, other Remodel <br /> FUNDING SOURCES: A~p~®I'iQ,~iD» Cu,rrLn,yy /yl <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / ~ <br /> Coun /FAA ~t <br /> tY ~ ~ O fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMEN L WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~ ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ~~A,/DMINISTRATION ONLY <br /> Capital Project No. ~q a® 12 qCK ~ 3 3 ,X ~(~(~C X ~ C~ ~'D(~... <br /> GL Title ~Ir'Pt7~'~^ ~211GQ ~ j <br /> j ~ic7Qt.~ 3_2) <br /> Assigned by _ U~ ~~~1-tJ Date ~~o? S6~9Cj <br /> T i <br /> Accounting by e,~ Date ~./~/9f' <br /> ATTACHMENTS: p <br /> `f ? Budget Estimate ? DeveloperAgreement ? 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 /> I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ . <br /> <br />