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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eu ene, OR 97401 <br /> g <br /> ~ (5~41)~2-5560 <br /> Service ID: ` ~ SID ~ PB ? L ~JC ? JE _ ~(Yj~~`7i. ~ <br /> Project title: ~ SAY' ~/Q ~ a Zg ~ ~ T <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~LZ Gl ~ R ~S <br /> I <br /> PROJECT SCOPE: q <br /> i <br /> Paving: Bike lanes /paths: <br /> <br /> { (widths) (width) <br /> ~ Concrete walks: ~Q Setback /Curbside <br /> le, h) (width) yy <br /> Sanitary sewer Storm sewer ~ ® Landscaping i/V ~ <br /> Signal /1/ ® Street lights ROW required /y <br /> New building construction Planning, other Remodel <br /> ~ FUNDING SOURCES: <br /> <br /> ~ City ~ Assessments Private Other department <br /> <br /> ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> i <br /> I <br /> APPROVED: Z't~~1l~d <br /> Project Manager Date <br /> Principal Engineer Date J'Z.Z <br /> Facilities Manager Date <br /> City Enginee Date ~~z31~ 3 <br /> FOR USE BY ADMINISTRATION ONLY <br /> /3 n <br /> Capital Project No. ACK ~ ~ °j ~xuu~ <br /> GL Title <br /> Assigned by Date ~ ~ <br /> Accounting by ~ Date 2'~7 <br /> ~3 <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 /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />