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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: SID._ PB ~GL JC r' JE _ <br /> Project title: _ ~.~-`rC~l~ C~e,"("'dviA,l <br /> , ~ 1~5 <br /> ~ ~9rt?ft-i <br /> I~~. <br /> (location and work descnpt~on) <br /> ~t ~ ~ ~ a=~c,em FIJI ~~r?e~~ ~ ~ <br /> r <br /> ' i ` ~a ~`c~t arm Et~~ r.~ <br /> ~ Project manager /contact /private engineer. (J/'~-~1~ ~ ~ ~ ~ <br /> j PROJECT SCOPE: <br /> Pavjng: (widrns) Bike lanes /paths: <br /> Concrete walks: (wiarn) <br /> ~/engrn) , a Setback /Curbside <br /> (width) <br /> Sanitary sewer v3 Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> i <br /> <br /> ~ FUNDING SOURCES: <br /> City Assessments Private_~ Other department <br /> Account code <br /> Fed /State /County /FAA <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> (l.__.;) <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer Date q <br /> i FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~1 ACK ~P~ + ~ 3JI ~,Q'C~1C)C ~ <br /> GL Title ~J1r~\3~. <br /> Assigned b Date ~ Z'~~~" ~ <br /> i <br /> Accounting by Date <br /> ATTACHMENTS: f <br /> j <br /> ? Budget Estimate ? Developer Agreement J <br /> ? 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 j <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW / Administralig0~ Eil INK X i `eerii~ `?File' r <br /> ; ~ ~ J ~ ~g tY 9 1 {~'Cj~bENROD /Project Manager JANUARY 2000 <br /> <br />