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t <br /> PROJECT AUTHORIZATION FORM Engineering <br /> <br /> j Public Works <br /> s$ City of Eugene <br /> ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service I D: ~ ~ ~ C~ ~ ~ a~ (541) 682-5560 <br /> f SID_ PB _ GL JC _ JE ~ <br /> Project title: _~~S_~ <br /> 1C.Q_.l~` ~~~s~ 6 , -~.rr~;,` ;ice=~-r,r„ . C,~, <br /> (locate nand work descnphon) ° <br /> e ~ ~ ~ Z. <br /> Project manager /contact /private engineer: ~ - ~ o ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (fe~nyth) ~ ~ (width) <br /> Sanitary sewer `"1 ®d-~. a-. ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNNG SOURCES: <br /> City Assessments Private Other department <br /> (,u ~ ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ <br /> rr. ~ <br /> ~d e' Cs <br /> APPROVED: <br /> Project Manager Date ~ - <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date S~ <br /> - <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ C%~`.~ ACK _ ~ ~ ~ XJ~l~3~ ~~.°~".~_..~~J,~~ <br /> GL Title .;f~~ d~ ~ - ~~r°`i Nf t ~.'°7~ ~:"-~~Sd~, <br /> Assigned by ; Date d ~ <br /> Accounting by ~ Date 3 ~ D 3 <br /> ATTACHMENTS: <br /> r" 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 />