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PROJECT AUTHORIZATION FORM <br />~ ~.~~ <br />V <br />~ ~~ <br />Engineering <br />Public Works <br />Service ID: <br />~~ <br />Project title: ~="~4 ~.+, ~~ <br />(location and work description) <br />~~ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />,..,:~.~,, ~°- } ~ <br />Project m~ nager J= contact / private engineer: Cr t` y~.- Lv'~~'r~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widtns) (widrn) <br />Concrete walks: Setback / Curbside <br />(length) (width) <br />Sanitary sewer Storm sewer Landscaping <br />Signal Street lights_ J..`_ ROW required <br />~-f- c~. ~~ .5 <br />New building construction Planning, other~re~~:~a~.z.a~ ~.°~'" Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Other department <br />Account code <br />Fed State / County / FAA _ ~~ ~ ~~ ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION~ <br />APPROVED: <br />Proje t Man er- <br />Facilities Manager'. <br />Ciry Engineer <br />. e~/ <br />. <br />Date ° ~3'°" , ~~1~e;' <br />Date <br />Date ~.s Z <br />Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~~~~ ACK ~ ~ f ~ ~~~ `~"~~ ~~'~ ~~ <br />GL Title 'r ' ~ `~~, ~ ~=` ~ <br />Assigned b Date ~ / ~~ ~ <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 />~ <br />SID_,PB _ GL _ JC _ JE _ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUARY 2000 <br />