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bu~ <br />_ * f' Engineering <br />P..ROJECT AUTHORIZATION FORM Yu-S <br />1), Public Works <br /> <br />. / <br />Service ID. <br />Project title: M9 C-6tAQ, <br />(location and work desc ' t. ) <br />1000t'~er nil <br />Project man / contact / private engineer: <br />City of Eugene <br />\ 244 E. Broadway <br />y~ Eugene, OR 97401 <br />f J ✓ (541) 682-5560 <br />SID_ PB _ GL _ JC _ JE <br />Pry;`o c.. ~~~a<.~ <br />cad <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widths) (width) <br />Concrete walks: Setback / Curbside <br />(lervh) (width) <br />Sanitary sewer Storm sewer Landscaping <br />Signal Street lights tlu nJ ROW required <br />We <br />New building construction Planning, other Remodel <br />ell <br />FUNDING SOURCES: <br />City M 9 J 3 (0 Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERD <br />d `.;4 nrn ei~ t< 443 /'OA A <br />ENTAIL WORK DESCRIPTION: <br />. . _ r, 1 <br />( fixed) <br />8.- <br />APPROVED: <br />PropctManager Date <br />! S ac-tvak r' Date r'I Al <br />r <br />-Facilities Manager Date <br />OGi , er Date 49 6 <br />r f <br />0 i(1cA (S <br />FOR USE BY ADMINISTRATION ONLY <br />"1 <br />Capital Project No. ,y2 ACK SJ Gt 2~5 Q yy)c C /r' <br />GL Title C%'..@~C1~11t'4~ 1- V'\Ck <br />Assigne , by a,/mo Date 1/3 0/6 W <br />Accounting by <br />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 />r <br />Private <br />Other department <br />Account code _ <br />