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PROJECT AUTHORIZATION FORM <br /> Engineering <br /> Public Works <br /> Py~ City of Eugene <br /> <br /> ' ~ s~/ j~ 244 E. Broadway <br /> Service ID: I ~ / / Eugene, OR 97401 <br /> SID _ <br /> ~PB C! GL t! jC ~E ~ ~ ~ X541) 682-5560 <br /> Project title: ' _'=.L <br /> (locatio/n and work description ~ ~ ~ ~ ~ " ~ <br /> CAS ~ ~ <br /> Project manages /contact /private engineer: <br /> f~ <br /> PROJECT SCOPE: <br /> ' Paving: <br /> Concrete walks: (""dths) Bike lanes /paths: <br /> (width) <br /> Sanitary sewer penyrn) Setback /Curbside <br /> (width) <br /> Storm sewer <br /> Signal Landscaping <br /> Street lights ROW required <br /> New building construction ~j <br /> Planning, other~~,~,`~ <br /> Remodel <br /> FUNDING SOURCES: <br /> Clty ~ ~ Assessments <br /> Private Other department <br /> Fed /State /County /FAA Account code <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ fixed) <br /> i ~ S p j <br /> / Y"®- <br /> r <br /> APPROVED: <br /> Project Manager ~ A <br /> ~n~, Date G <br /> er _ ~ <br /> Facilities Maria er Date~'"~ ~-~"Z <br /> '~!~'?gineer ~ ~ Date i <br /> g ~ ~s, ; . Date _'a <br /> 1 <br /> 9 FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ l ~ q ~ ~y,, n ~ <br /> ACK .~c7t[~ ~1 Li~ ~1fX5Cy/ ~ ~ 1~~ ~-~i°n j <br /> GL Title ~--1 <br /> i l~j <br /> i <br /> Assigned by <br /> Date c~ <br /> Accounting by ~ <br /> Date <br /> ATTACHMENTS: ~ <br /> ? Budget Estimate ? DeveloperAgreement <br /> ? SDC Budget Worksheet ? Engineer's Report On Improvement Petition <br /> ? Engineering Agreement I <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Maplneering Service Work Request <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Mana er <br /> 9 JANUARY 2000 ~ <br /> _ <br /> _ i <br /> _ , <br /> <br />