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- <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ' / 1,~ Y~ 541 682-5560 <br /> Service ID: 7 I SID PB GL JC JE _ ( > <br /> Project title: ~ f P~ <br /> g ~V~~ F~ ~ ~ S p,e 11 . ~ ~ ~ ~ r®1 ~ ~ n.? 1 <br /> ovation nd work description) <br /> <br /> i <br /> w <br /> i <br /> Project manager /contact /private engineer: D ~Q t n! S <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer 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 /> ~ r ~o2.T- A- o sem, o Account code <br /> Fed /State /County /FAA ~ ~ ~ ~ ~ 3~ ~ ~ ~ Z~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date G' BS- ~ <br /> Pr~t' I Engineer Date <br /> P~a 'e~i~s Manager ~°~e"" Date ~ <br /> City Engineer Date ~ ~`~r~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~I ~ ^ ~ ~ ~ ~ ~ <br /> GL Title 1JL~-` ~Gl+'~~,,~ ~I r i ~.f~~n--~-(~`~' <br /> Assigne y Date c~.[~/~~~~~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? 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 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />