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PROJECT AUTHORIZATION FORM Ingineering <br /> Public Works <br /> City of Eugene <br /> GC e55 244 E. Broadway <br /> / Eugene, OR 97401 <br /> / f , / ` / (541) 682-5560 <br /> Service ID: ; SID_ PB _ GLVVV_ JC V JE _ <br /> Project title: ~ -J~ X . ~ C= ` '~r~ ~ ~ e e,,>' <br /> (locaho and work description) <br /> ~ <br /> 5~~~~~~ <br /> Project manager /contact /private engineer: -~C%~'~ ~~3~:~-' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete wal~ks~: Setback /Curbside <br /> ~~t`~tr'`r's~-- E f (len9tn) (width) <br /> Ranitary-sewer C~ 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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager ~ ~ Date <br /> City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3~394~ ACK Co 3 ~ Q 33D XkXx K 3734'>~7 <br /> GL Title _ ~ibCoC~~ ~d~Vl6/Old/ <br /> Assigned by ~ y~lLIGN~ Date ~ ~ g <br /> Accounting by Q- V Date I g I~ <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />