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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ? 244 E. Broadway <br /> f Eugene, OR 97401 <br /> ,,~ry`~~~ (541) 682-5560 <br /> Service ID: SID ~ PB ~ GL i~ JC ~ JE _ <br /> N ~ 9 b <br /> Project title: V~~~~~ i~ "T~%~/ZL <br /> r.B ~~ii' IN~S,t~ 1~i~ ~~S ~2,=tea q <br /> 1 ion and work description) <br /> <br /> i <br /> Project manager /contact /private engineer: i ~ ~ <br /> PROJECT SCOPE: <br /> i <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~'~3(~® Storm sewer Landscaping <br /> I <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDINGS S:~ ,i~ ~'~~~'~~^acn.~,, <br /> City ~ Assessments Private Other department <br /> ~Q ~ ~ i~~ ~v~dS -;vr ~i:~s~~ ~ ~ 5~. Ac ount code <br /> Fed /State /County /FAA / P~ ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION; <br /> a <br /> F <br /> / <br /> ~ i~l- ~ = wz - ~ . , iRi~ s~ ~ ~ ~ ~ c~ <br /> rro ~J. ~ 0~', <br /> ~ ~a~~L T ~''K.' l.~uL9' v ~ ~ a ~;y ~ <br /> Q.` <br /> 9 <br /> APPROVED: <br /> Project Manager Date ~ <br /> , <br /> Principal Engineer ~ L=' Date ~ ~ ~ <br /> Facilities Manage Date <br /> City Engineer ~ Date ~ (2 ? ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~~a 9..~.~~ ~u~X X q~5 3~a~ <br /> GL Title ~ Y <br /> Assigned b Date <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 /> 04-01-03A10:?_3 f;CVD <br /> <br />