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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciry of Eugene <br /> <br /> •I ~ 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> , / ~ <br /> ~ <br /> Service ID: / SID PB ? GL ~ JC" JE ? <br /> Project title: ~~l' ~ V P~~.cli-e~~1`~~`1/ b ~v~ <br /> (location and work description) p y <br /> Project <br /> m <br /> ager contact /private engineer: ~~'I e- ~ 1 P~ <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 <br /> Signal Street lights ROW required <br /> f i <br /> aid, <br /> New building construction Planning, other ~ "~,~sa,~/nt-~---~ Remodel <br /> FUNDING SOURCES: <br /> Ciry ~ ~ 5 ~ Assessments Private Other department <br /> ~`~l°'~ ~r~~ ~~~~5~ ~~/t j~.~~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> A <br /> J S q.~ e` t5 ~ <br /> ~ ts+,N: P ,L boa Cc.l wl 7't ~ <br /> I <br /> APPROVED: ~ r <br /> Project Manager ~ Date ~ ~ <br /> iv~t..7 _~~zL ~ti. 1Mr <br /> hurfa' <br /> J <br /> Date ' Z <br /> Facilities Manager Date <br /> ~~~i~>~ <br /> ~ Date ' _ b~ <br /> Pt~iS ~ ~:~ozt~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> .Capital Project No. ~3 Sa~o2 ACK S3(o X335 ~XxXx ~3~Sa~a <br /> GL Title - ~~'Q7~.~u ~,./C!~ <br /> Assigned by Date ` ~ ~ D <br /> Accounting by Date 2 ~ 7~ d„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 />