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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> p~` Eugene, OR 97401 <br /> ,2 ~ ' / ~ f (541) 682-5560 <br /> Service ID: ~ SID_ PB ~ GL V JC _ JE ~ ~'L~°? <br /> Project title: ~ t ~~~J ~y~~~^~~ ~~`~~~~I~~T ~~`~8~~-° <br /> I <br /> (location and work description) <br /> Project manager /contact /private engineer. ~'~T <br /> PROJECT SCOPE: <br /> Paving: 1 ~'~L4^~1'~U~ ~ ~~.1~ 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 /> New building construction Planning, other Remodel <br /> FUND NG SOURCES: <br /> City Assessments Private Other department <br /> T~"k~sP~zT~ ~i~(iS Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~L~h`~fl~ /3Grl\!l. I CAS ~ f~tE-rD (i~-~.( ~f~Li Card 1~~t-C- <br /> Vet L SDP c <br /> I ~ ` f~ebl~~- ~~A , <br /> APPROVED: <br /> Project Manager Date I~loy x.00 Z <br /> Principal Engineer Date J~`~ ~ b Z <br /> Facilities Manager Date <br /> City Engineer Date //~zr~~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. q~~dB ~ ACK X33 XXxX ~ 35~~87" q~2- <br /> GL Title ~10.U ~ 1CL~Cfty~S"~"' ~rr~ A ~L)l.~.~ <br /> Assigned by Date ~ ~ ~ Z~° ©Z'`~ <br /> Accounting by Date. ~~a ~ <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />