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~ t~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> Ills 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> Service ID: ~ ~ ~ ~ . / <br /> SID_ PB _ GL ~ JC ~ JE <br /> ~ ~I"~ a <br /> Projecttitle: ~ ~ A1~'1A~era~ C'~es~ ~ Z9~~ <br /> { (/ocahon and work descnpt~on) <br /> f <br /> a~ / <br /> C Project manager /contact /private engineer: ~ ~~-1 ~I ~ ~ d ~ ra V <br /> j PROJECT SCOPE: <br /> Paving: ~ Vi L~ )C ~ °~7 ~ <br /> Bike lanes /paths: <br /> (widths) <br /> j (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~~i''~.~, i t 4 Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> m <br /> 0 ' <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date ~/os"~-~ <br /> Facilities Manager Date <br /> City Engineer - Date ~ l~ 2 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ ~ ~ ACK ' .330? " (P)C;)4X . t ~S G~-`1 <br /> PP~~3 - ~m~~ ~ ~ ~ Q,,-~ <br /> GL Title ~ C.~IJ <br /> c. <br /> Assigned y Date ~ ~ C~.~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> 4, ? 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 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> J <br /> <br />