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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I~ S City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 _ <br /> i~ (541) 682-5560 <br /> Service ID: SID ~ PB G JC ~JE _ <br /> <br /> J <br /> ~ Project title: ~ ~ c <br /> (lo d~ c' do ® ~ Y V V v 171T~~~! <br /> Project manager /contact /private engineer: C3~ ~ 1~~ ~....1~~ <br /> PROJECT SCOPE: <br /> I <br /> ~ j.. <br /> Pavin ~ ~ 1 Bike lanes / aths: <br /> 9 p <br /> (widens) (wfdrn) <br /> Concrete walks: Setback urbside <br /> W v3~- )I (length) (widthr~ ~ <br /> `;e~u~tlw®r ~ Storr>i~er N2~~ ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: n( <br /> Project Manage ~ v Date <br /> Principal Engin r Date <br /> Facilities Man r Date <br /> City Engineer Date 3"r~-0I <br /> FOR USE BY ADMINISTRATION ONLY 2 2 <br /> Capital Project No. 3~ ~ ~ ACK ~ 3 ~ y°~~a kk~CSL of ~ / 02- <br /> GL Title / ~ /~~''1 <br /> Assigned by L~7 Date 9 ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> , . ' ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 />