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a <br /> PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service It: SID_ ~6 _ GL _ JC ~ JE (541) 682-5560 <br /> Project title:.. ~U del ~°i 1.J a ~„~~C,/l_ V~~ ~ ~ 1 1 Y ~ , <br /> (location and w rk, <br /> d~esjcriiption) y A <br /> Project manager /contact /private engineer: ~V' <br /> PROJECT SCOPE: 9 y , i I <br /> Paving: y Bike lanes /paths: <br /> (widths) 0 (width) <br /> Concrete walks: S/ etback •urbside S <br /> /d IeA t~jr if (wi~Nj+ p <br /> Sanitary sewer ~ ® Storm sewer o ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~Q ~ I ~ ~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 'I <br /> ('r <br /> i <br /> APPROVED: ~ ~s~ - <br /> ~ Project Manager Date <br /> Principal Engineer Date ~ / ~ <br /> li Facilities Manager Date <br /> City Engineer,,C~ ~ ~ Date- 1 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 5 ACK (03 j a 33b X X XIC~ 37~Dt5 <br /> GL Title CD~/E BLVD ~ (SOP GJ ~ <br /> <br /> j signed by Date ~ <br /> ~ <br /> 8~~~ <br /> tv <br /> ~ ~4cc unting by Date ~ <br /> gg~ <br /> Rd <br /> CHMENTS: <br /> ~ ~ udget 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 ? Publlc Improvement Permit Application ? Map <br /> File Requesf Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />