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Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ l~ <br /> SID~B ~GL ~JC ~ JE <br /> Project title: ~ i/C.L~3' ~?-i-"1~ (?~i2.r e~ J',/? L,.D ~.,/,~-7-j rg.,~..,(' /'D/°/° <br /> (lojca~tion and work descnption) { ~ ~l <br /> ~ /Yi ~ W b y <br /> /V' <br /> Project manager /contact /private engineer: _~~s G mac? ??r+t~. <br /> . <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) width <br /> ( I <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City t'Svv~ ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> i <br /> C MMENT /SPECIAL PROJECT INFO. /INTER EPARTMENTAL WORK DESCRIPTION: <br /> <br /> j <br /> APPROVED: <br /> Project Manager Date ~ Z- <br /> Principal Engineer Date T" 2 ~ D <br /> Facilities Manager Date <br /> City Engineer ~ c~ <br /> Date ~ l ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ 1 q ~ ACK X33 ~i33~Z f / 73S 9 y 5 ~9~ <br /> GL Title PAP P,~, i~/1~ ~J~~..-~._]Y'~~ <br /> Assigned b ~ Date ~/C~ v <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~j Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> l~ , <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit'Application I~ Map <br /> ,,File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />