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'I e 3 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> % City of Eugene <br /> ~ 244 E. Broadway <br /> i ~ ~ ~ Eugene, OR 97401 <br /> <br /> ~ Service It):- (541) 682-5560 <br /> - SID_ PB _ GL _ JC JE _ <br /> Project title: ~ ~i l ~ ~ I 1 <br /> (location a~ w do descnpbon) <br /> 1 i ~ <br /> ~`~C3 ~AA`V16 ~-°T~. 1/l/,~ C <br /> ,fir-ifV~~--- <br /> Project manager /contact /private engineer: ~ I ~ A'~ ~ / ,CGE-(~(.s1r'~"~ S'~~~1- `e~ ~.1 f f,~ <br /> PROJECT SCOPE: <br /> Pavin ~ L.' 11811 d`j G- <br /> 9~ ~ Bike lanes /paths: <br /> (wrdths) width <br /> ( J <br /> Concrete walks: Setback Curbsi <br /> l ( (length) (width) <br /> Sanitary sewer Storm sewer ~~il Landscaping <br /> Signal Street lights G ROW required <br /> New building construction Planning, other ~ ~ ~ ~ -1 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 /> APPROVED: <br /> Project Manage Date ~ ~ ' ~ I <br /> Principal Engineer Date ~ e <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK 1 ~ 7~ <br /> GL Title ~ ~ <br /> Assigned by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Develo er A reement <br /> 4 P 9 ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 /> <br />