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PROJECT AUTHORIZATION FORM engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> / (541) 682-5560 <br /> Service ID: ~ ~ SID~PB ~ GL ~C JE - <br /> E <br /> Project title: _ 11~~'~"'1C~~.~.~-~~e~(~ut~6c,'~i>~~~. (5.~,~~-~_,f- <br /> (location and work descnphon) ~ <br /> ~oject manager contact /private engineer: ~ f <br /> I <br /> ~ PROJECT SCOPE: <br /> Paving: <br /> (widrns) Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> I (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street li tits <br /> 9 ROW required <br /> ~ C~~~~et.tio~aal tA9~~,~~ <br /> New building construction Planning, other_~t iufi~& Remodel <br /> FUNDING SOURCES: <br /> ' City Assessments Private Other department <br /> j <br /> Account code <br /> <br /> ~ Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> . <br /> ~ es t ~ ~ - ~ ~ tart <br /> n <br /> i <br /> APPROVED: <br /> Project Manager Date ~ ~ ~ <br /> ~ ~~-t;v y~•7~a. Date "~'y 3 ~ <br /> Facilities Manager l <br /> Date <br /> Date ~ 3 -l3 ~ <br /> ® v~prS <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> ) r <br /> Capital Project No. 'I ~ ~ ~ l®~ ACK l ~aXX~C' X - 9~~ i _ <br /> GL Title ~L~~S i-l.C'~ f`-C~j/l~'~I-- <br /> Assigned b j~~ <br /> Date <br /> Accounting by Date <br /> 1 <br /> ATTACHMENTS: ~ <br /> r` ? 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 /> ,;n <br /> - 1, ? I ~ _ i <br /> r' <br /> - - <br /> <br />