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rt <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> l? 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID:_ ~ ~ ~ SID ~ PB ~GL ~ JC = JE ~ ~`'J°~ <br /> ~,ti 1 <br /> Project title: ~ ~ <br /> (location and work description) <br /> i <br /> Project manager contact /private engineer: <br /> i <br /> PROJECT SCOPE: <br /> Pavin ~ ~ QrCL'~SS 1(~® ~ .bOa~` ~'GCVV~ p Bike lanes /paths: <br /> g' ~ (widtns) (widrn) <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 /> F DING SOURCES: l cl~s~S~ 73S Gj'Q ~ l <br /> Ci Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> <br /> ~ <br /> APPROVED: <br /> Project Manager ~ ~ n Date <br /> Principal Engineer Date 2 <br /> +Tt,~ <br /> "T.+e~ Date <br /> P/~~~ cK Date <br /> 2E~ !L <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g°i7 ACK '~~f ~XXXX ~ oZ <br /> GL Title i~'l~/zk- 13D~.,t /~.C1.c.c.~l:~ <br /> Assigned by '//~J ~ / Date ~ I~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget 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 ? Public Improvement Permit Application Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINiK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~c~" ~ /BUS ~~3/t~~ ~t~vz~.- r/1~~~~ <br /> <br />