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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 'nn 244 E. Broadway <br /> t~l~u r t ~J ~QSJ Eugene, OR 97401 <br /> ~ l ` / , ~ (541) 682-5560 <br /> Service ID: _ 3~~~ SID PB" GL _ JC ~JE <br /> Project title: ~C. E Mo vii y~rwc 1.~ t^G~k r" eel ~1 cT-~ c~ hs <br /> (location and work description) <br /> Project manager /contact /private engineer: S n ~ ~ ~ U c.«x,~ <br /> PROJECT SCOPE: (,~`~s <br /> ~ti~~tit~ ~ow'hM~ 1M "`niP~nG~ ~ rel?'1Q~i c~I Bike lanes /paths: <br /> (widrns) (widrn) <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 /> ~t ~c12, ©ofl ~-o ~o.~ -}-t.~~r~~ p,~ (~'2g21~ Account code <br /> Fed /State /County /FAA~J ~ 1 q'{ SDRf~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> /J _ 1 <br /> ~ vw <br /> o.~ ~ t <br /> i ~ <br /> v ~ v0' ~ <br /> G V~ r~ ~i~ <br /> t1 v H S <br /> APPROVED: <br /> Project Manager Date l2--t$~on <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~Z- -2-~ `-OCR <br /> FOR USE BY ADMINI~~~ATION ONLY a!(oD!/ <br /> 93'14 <br /> Capital Project No/~ I SOD ~ f ACK X x X X 1C <br /> GL Title /"tl.~ I'Y1Dht r' <br /> Assigned by Date ~ D2 D <br /> Accounting by ~ Date G <br /> ATTi4CF11VIE S: <br /> Bt.tc~g tim to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ` dgef , orksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ~=_:~iry Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ile Requ~storm <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> <br />