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' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> f 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> -~~5~ SID_ PB _ GL JC _ JE _ <br /> Project title: ~ ~ ~--r~'1--~C~1 r~"~"-.+~Q~ ~C~-y-~- ~,-s~`~`CR°~'t Cg <br /> (location and woric description) <br /> P~ ~ Project manager contact /private engineer: ~ ? ~ Qp, I i <br /> C1L <br /> <br /> ' Sjp) ? PROJECT SCOPE: <br /> <br /> i <br /> ~G Paving: (widrns) Bike lanes /paths: <br /> J (width) <br /> Concrete walks: Setback /Curbside <br /> (length) ` (width) <br /> Sanitary sewer 'Pc.s ~ FG-- ~ v Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FDING SOURCES: <br /> CI ~ l Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: A <br /> Project Manager Date ~ ~~1 <br /> Principal Engineer Date Z` ( ` ` <br /> Facilities Manager Date <br /> City Engineer Date 2 l7- ®d <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 905~1oS ACK ~3y 432 XxX,~CX 9DS~(~S' <br /> GL Title ~ v Qn ~"G C.-~Q~'G~ /lc.M~'! ~~G~~jayl <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> t"Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> J$~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 />