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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> - City of Eugene <br /> K:~i 244 E. Broadway <br /> Eugene, OR 97401 <br /> ? / b ~ (541) 682-5560 <br /> Service ID: ~ SID I~ PB _ GL JC JE Pal P <br /> Project title: e ~ °°6" ° '`',41C , ~ ~ ~E ~ E ~ *L.;~ ~ ~ h,~ Z, <br /> (location and work description) <br /> it Project manager /contact /private engineer: "i~~d2.1 ~ 1 E.,t.. 1• ed 5 <br /> i <br /> j PROJECT SCOPE: <br /> i <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> !length) !width) ~ 5, <br /> Sanitary sewer Storm sewer ~ ~t2 ~ Landscaping <br /> Signal Street lights ROW required <br /> <br /> j New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ C/~ <br /> City Assessments Private Other department <br /> ~ Account code <br /> Fed /State /County / f ~a.~ b 6~c ~<7 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTJI <br /> MENTAL WORK DESCRIPTION: <br /> \ ~ . 7 <br /> APPROVED: <br /> Project Manager Date ~ <br /> Pri al Engineer Date ~"'~`~j <br /> etfi'T~~ <br /> Manager Date ~ " <br /> City Engineer Date --h <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. `1''~s~~O~ ACK S~ a 933 ~Oxxxx 95~5'/3'a~ <br /> GL Title ~ ~xl ~Q.l1t° ~~Ga~.i DO /bte/~-i~" n~+~- Z ~ f f1CtyP~ 2 <br /> Assigned by ~ Date ''3 - ~ D-3 <br /> Accounting by ~ ~ Date ~ ~ ~ <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 />