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. ~ PROJECT AUTHORIZATION FORM Engineerin <br /> 9 <br /> Public Works <br /> i City of Eugene <br /> ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: e (541) 682-5560 <br /> <br /> ' SID_____ PB ~GL JC _._Y_ JE <br /> ' Project title: ~-A,{K.~ cjhDIY ~ - <br /> . . <br /> (iocation and work description) e 2 <br /> ~ Project manager /contact /private engineer: ~ ~,CS <br /> . I ~U ~c~ V it <br /> PROJECT SCOPE: r <br /> Paving: <br /> ~ (w;dtns) Bike lanes /paths: <br /> Concrete walks: (w;dtn) <br /> Sanitary sewer r (~~tn/ ~ (w°drn/ Setback /Curbside <br /> ~ P~ " ~ ca rm sewer <br /> Signal Landscaping <br /> Street lights ROW required <br /> New building construction <br /> Planning, other 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 <br /> i <br /> i ~~f <br /> APPROVED: <br /> - <br /> Project Manager h ~ <br /> p g Date / "Z <br /> ~1 <br /> Princi al En ineer <br /> Facilities Manager Date <br /> G City Engineer Date <br /> Date "7~2s <br /> ®~FOR USE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. `"1 ~ ~ <br /> GL Title ~ j <br /> ~ <br /> i <br /> Assigne y <br /> Date ~ ~ c <br /> Accounting by <br /> Date <br /> ATTACHMENTS: ~ <br /> i <br /> ~ ? Budget Estimate I <br /> ? SDC Budget Worksheet Developer Agreement <br /> ? Engineer's Report On Improvement Petition <br /> ? City Engineer's Initiating Order Publ <br /> c Improvegmenrt Permit A lic ~ ? Engineering Service Work Request <br /> File Request Form Pp atlon ? Map j <br /> i <br /> ENG 415 WHITE /Finance YELLQW / mi 's rati I PINK /Engineering File GOLDENROD / Pro'ect Mana er <br /> ` - ~ ~ ~ ~ ~ ' ~ t 9 JANUARY 2000 <br /> ~ ~ X71 <br /> <br />