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a <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> / Eugene, OR 97401 <br /> r / ` . / ~ a i ,ry (541) 682-5560 <br /> Service It: F~ SID ~6 GL "'111~~_ JC _ JE _C~ <br /> Project title: ~d~ ~~ti''°~-- ~f~~ ~ ~ <br /> (location and work description) <br /> t= S ~ ~ Ti_E, e~~-ivy. a~ L-a ~i ~ ~°6~ ~ ~ <br /> <br /> i <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> t'~ <br /> New building construction Planning, other ~ Remodel <br /> FUNDING /SOURCES: <br /> City i.~~'t ~ 5~~ Assessments Private Other department <br /> Account code <br /> Fed /State /County 1 FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i ~ ~ tom` ~ x ~ <br /> APPROVED: <br /> Project Manager ~ ~ ~ 4-' Date <br /> ~ .5:~e. v,~.. arsm~~~---- <br /> Facilities Manager Date <br /> J <br /> ~ , ~ Date ~ ~"~7 5 <br /> j ~[F^~OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~!~'t~~ ACK ~ ~ ~ ~Q~~ <br /> GL Title ~ ~ 1.3~."Y ~ <br /> Assigned y Date ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> I' . ? 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 /> ? Fite Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager .JANUARY 2000 <br /> <br />