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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID. <br /> SID_ PB . GL JC _ JE _ <br /> Project title: -.~i~' i~ (~~~rll ~ o ~L. `~vn ry-?~r~.~~ <br /> (location and work degc tion) <br /> I <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: . <br /> widths <br /> ( ) (width) <br /> j Concrete walks: Setback /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 SO RCES: 93Soa?l~ /ODK .335 43Sp3b SD,~ 33~ q ~s~a y /S'o /Z <br /> City Assessments Private Other department <br /> %~L Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~.(,f~..l~i~ <br /> F <br /> ~ Gf €b t?~Y ~ ~ IY1 ~rv <br /> 15 <br /> , o o y ~s~ ~t .c.~?~~~ ~rc~ i~,~ a= n~,r~v~ Y~..~L ~ r' 1~:.~~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> <br /> ~ City Engineer Date 3~( 7~~ ~ <br /> 3~D~o SE BY ADMINISTRATION ONLY n3~o~ <br /> Capital Project No. ACK 333 933 a !o X xXX `7 <br /> GL Title / r(~ h 2 ~ ~/j'1 l' d~ <br /> Assigned by Date ~ ~~7 <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 />