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t <br /> ' ` ` PROJECT AUTHORIZATION FORM Engineering <br /> I~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> i Eugene, OR 97401 <br /> ® / (541) ~2-5560 <br /> Service ID: SID ~`~PB ~GL JC_/ JE _ <br /> Project title: .Z ~ f~ e~cl T®° ~ C ~°C L®' <br /> (cation and work description) ~ <br /> Project manager /contact /private engineer:... /G~~l~ LLB ~ f% <br /> ~ PROJECT SCOPE: <br /> Paving: Bike lanes paths: <br /> <br /> j a (widths) _ (width) <br /> j Concrete walks: f.~ G / <br /> . etback Curbside <br /> (length) width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ '.JZ S/~~3 <br /> City Assessments Private Other department E~ <br /> Account code <br /> Fed /State County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t <br /> <br /> 'i ~ 9 <br /> 8' <br /> ~a <br /> APPROVED: w <br /> Project Manager Date <br /> Principal Engineer ° Date ~~~7----- <br /> Facilities Manager Date <br /> City Engineer Date 7 .a <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~~95~3 ~ (f <br /> Capital Project No. ACK ~ ~ ~ ~ ~~~~x i 7 <br /> GL Title f <br /> Assigned by Date <br /> Accounting by Date 2' ~"'d-3 <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> i ? 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 />