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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~1~ Eugene, OR 97401 <br /> ;y (541) 682-5560 <br /> Service ID: ~ SID_ PB V GL ~ JC ? JE <br /> Project title• • ~"/~/®!A .L~, ~ ~-~ieG,~x~nir/.~'~s~o~ /-~~es~ <br /> (location nd wo description) ~ ® ~ <br /> Project manager /contact /private engineer: <br /> I <br /> PROJECT SCOPE: <br /> Paving: .Bike lanes /paths: <br /> ® (widths) ® (width) <br /> j Concrete walks: ® Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~ Storm sewer Landscaping /s <br /> Signal ~ Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ®f2°G6'LS >~~j ~DD ~~`~/~T <br /> City _ .~C Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> jj ~ ~ <br /> r ~ - <br /> APPROVED: <br /> Project Manag Date <br /> Principal Engineer Date~~ <br /> Facilities Manager Date <br /> City Engineer Date-1~3~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> fJ 93 523 Z <br /> Capital Project No. ~`'3~~~ ACK x°33 r "loXXUx ` <br /> GL Title .~Yl,~t1%1~ t!.~ ~~iG ~-~1 <br /> Assigned by e Date <br /> Accounting by Date ~''7 ~d3 <br /> ATTACHMENTS: <br /> ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ' 5DC 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 />