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_ ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> • Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> a~ - SID PB ~GL ~ JC JE ~ ~ <br /> Project title: ~Q ~ B i~l f? i 1'~~91 . !1® C.r) 1"I~.fs~{~ <br /> (location and work descnphon) ~ ~ I ~ a <br /> Z~IY`~" f <br /> w <br /> Project manager /contact /private engineer: ~~~Q~ ~~j/'j ~s~.~'~ , <br /> i <br /> j PROJECT SCOPE: <br /> Paving: 1 r ~ Bike lanes /paths: <br /> (widtns) (widrn) <br /> Concrete walks: d Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer f~ Storm sewer Landscaping <br /> Signal Street lights ~ ® ROW required <br /> ii <br /> New building construction ® Planning, other ~ ~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> I,~ Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> J <br /> <br /> I <br /> <br /> i <br /> <br /> i <br /> <br /> f APPROVED: r <br /> Project Manager ~ Date ZZ V~ 'l~~ <br /> Principal Engineer Date '-Z~-'® <br /> Facilities Manager Date <br /> City Engineer Date ~~3 ~ ~ <br /> FOR USE BY ADMINIS ~~ATION ONLY <br /> Capital Project No. ~ ACK ~ j X1'3.3 a ~CX~X X <br /> GL Title Z~J I" ~ ~ ~j~ <br /> Assigned by ~ ~ Date r~'r~ J ' <br /> Accounting by V~' Date _ ~~-g1~ <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 Im rovement Permit A lication Ma <br /> P PP ~ p <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />