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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: ~l7 ~ SID ~ PB GL ~ JC JE ~ ~ <br /> Project title: ~ t rpa-yf r ~ a?6 r~,u t-~wrq,~ Sra, f,~ <br /> (location and work descnphon) v <br /> Project manager /contact /private engineer: " r~ ~ ~ _ <br /> PROJECT SCOPE: <br /> Paving: (w;mhs) Bike lanes /paths: <br /> (w;drn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer .h . Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~ . Account code <br /> Fed /State /County AA, . ~ <br /> ~ C ~ i ~.j.... ~ ~ F~~.~ % fixed) <br /> COMMENT SPECIAL OJECT IN O. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ' 6 <br /> <br /> I <br /> <br /> i <br /> APPROVED: <br /> Project Manager Date r 7 <br /> Principal Engineer - Date I~f ~ <br /> Facilities Manager r <br /> Date <br /> City Enginee Date ~ ~ ~ <br /> FOR USE BY ADMINISTRlA~TI,O/N ONLY <br /> Capital Project No. ~ ~5~5~~~~ ACK '~"~<'~7" ~ii~~~ ~ ~J~o~~?o~ <br /> GL Title r ? ~ ~ ~ ~'L~1(~i~C.a.f ~~~L i3'l~ x`~TC~'~" (C~1`1 <br /> Assigned ~ <br /> Date <br /> Accounting by Date <br /> i <br /> ATTACHMENTS: <br /> Bud et Estimate <br /> 9 ? 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 ft WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> <br />