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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: SID- PB - GL 'V JC JE _d~ <br /> Project title: ~ I a ~~D i.~ ~I~~ ~ <br /> (location and work d ~ription), ~ ~ ~ <br /> fs~.,-,. <br /> Project manage contact /private engineer: ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> t~c,~e-r;-t cal <br /> New building construction Planning, other ~-s~;a"~"1~~~^- Remodel <br /> FUNDING SOURCES: ~ j~2 ~~f ~i~~ x/'07 ® l~~'J~ l.~,?~Gl..lk~ Lf1~~~ ' <br /> City Assessments Private Other department <br /> ~ Account code <br /> Fed State /County /FAA ! C~ ~ 1 ~ n~'~"(~~'~'~ ~3~~~ f~ a fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i ~ ~ +t. ~ L~~ ~ ro ~ ~ rte-~~~. e.~ ~.+3 ea ~ ~'w ~ e.~ At ~~~j„ <br /> rS`?~ ~.e:~ ~~1 ~-~t't ~~~Pra.~~S c'S ~ 2 l~ ~~:-~-~-ram- ~O~ s L~r^~.%n c~ S /ge~1~ <br /> ~~~k-z.~ L~~~-f'l-. ~.j 1~ ~~i~~_ <br /> APPROVED: <br /> Project Manager ~ Date <br /> r Date <br /> Facilities Manager Date <br /> ~ir~er 4--- Date ~ <br /> r- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~ I 3S (pX XXX q ~ <br /> G L Title ~ ~ ~ ~ ~ ~ ,1®~3 t_~'r 1~1'~.-Y' <br /> Assigned b Date ~ <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 PINK / Enginserjng,File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />