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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~ ity of Eugene <br /> C~~ ~ ~44 E. Broadway <br /> r. 'Eugene, OR 97401 <br /> ~ ~ ~ (541) 682-5560 <br /> Service ID: , - / SID_ PB GL _ JC _ JE _ <br /> Project title: ~'V~S7L~b?~l~Ei2 ~E~~A`J~~i/74f1t~/ 2002 /~4S>svCi' ~~"25`~ ~~4- Zf'P <br /> (location and work description) ~ ~v4 / ~C= 2I ~~-ZS <br /> a~ 3z <br /> Project manager /contact /private engineer: ~/~1/stl S /E ~l~/l <br /> ~ PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhs) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> { FUNDIN~RCES: <br /> City Assessments Private Other department <br /> i <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ U <br /> <br /> I <br /> APPROVED: <br /> Project Manager S v"LS Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> CityEngineer c ~ Date---3lZ/~oZ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ <br /> > <br /> GL Title ~ ~~1 3~S~t~~,~ 1~ ~--f~ <br /> Assigned by N ~ ' ~ a Date ~ <br /> Accounting by ~ Date ~ ~ ~ <br /> ATTACHMENTS: <br /> ,~'gudget Estimate ? Developer Agreement ? Engineer's Report On rpra`vem~rlt~etitio <br /> .~'SDC Budget Worksheet ? Engineering Agreement ? Engineering Service ork i~~uest <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 /> m^ <br /> <br />