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t t <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> <br /> ' 244 E. Broadway <br /> / Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: o SID P ~ ~ 2~2~ <br /> _ E3_GL_JC_JE_ f <br /> Project title: ~ I ~->t~'~ I~L <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~-1d1~ <br /> PROJECT SCOPE: <br /> Paving: dy.~- ~~`fi' ItLQ ~ ~a Bike lanes /paths:. <br /> ~ ~ (w,dths) (width) <br /> Concrete walks: Setback /Curbside <br /> y (length) (width) / <br /> Sanitary sewer Storm sewer )f~~ I Landscaping I~Ll~' <br /> Signal Street lights ROW required <br /> New building construction~+ Planning, other Remodel <br /> [ C~ ~l fie-I~( l ~ r S too <br /> FUNDING SOURCES: <br /> .City ~ Assessments Private Other department <br /> 5'D,SLb 3i2 ~~S~ly Account code <br /> Fed /State /County /FAA fixed) <br /> COMME(N~Ta.S /SPECIAL PROJECT INFO. / INTERnD_~EPARTMENTAL WORK DESCRIPTION: • ~ <br /> '~l~i 1'P~%~ ~Ar'~'Ll_ t~ 1~i9~i ~-~.1,~s`~I.a~~ ~ f~ ~ P'C <br /> T~~ =S <br /> APPROVED: <br /> Project Manager P Date ter'" <br /> Principal Engineer Date ~ 5 r <br /> Facilities Manager Date <br /> City Engineer Date Z/zo ~a Z <br /> FOR USE BY ADMINISTRATION ONLY ~asc~y <br /> Capital Project No. ~ ACK ~ ~ ~ ~x~ <br /> GL Title ~ 1~ ~~°-C-CJ?~~~ <br /> Assigned by Date _ <br /> Accounting by G~-G'~'~ Date °2 7 ~ _ <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 PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />