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' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> • ? 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> i ~ (541) 682-5560 <br /> Service ID: fl SID ~PB _ GL JC JE _ <br /> Project title: A-I /-~-CG ~-S $ C: ®r~3~-(L~C~ J~ F?c c~ r" ; <br /> ~..u,_ cy,a <br /> (location and wo description) <br /> Projecf manager ontact / ivate engineer. ¢ ~ ~ <br /> <br /> . _ <br /> ~ PROJECT SCOPE: <br /> Paving: (widths) Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~''s <br /> j~ <br /> City Assessments Private Other department <br /> o e~ Account code <br /> Fed /State /County /FAA ~ i r~~ (d'~ ~~/o fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> s - l t~ Fey. <br /> ~ ~ ya iIY`~ o~ ~ ~ ./<1 is o <br /> APPROVED: <br /> Project Manager ~i--/~ ~ ~®pl~.l'~"~/ ~lzl''~ L ~J Date <br /> i <br /> Principa Engineer °i Date ~ ` <br /> ~ F les Manager ~ ® Date ~ ~ <br /> Ci En Ineer ~ „ ~ aF-~ ` <br /> tY 9~ ~ ~ Date g ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ `i ~ ACK ~ ~ ~ 3 ~ ~1 ~ <br /> GL Title +r <br /> Assigned by ~ Date ~6 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 />