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:PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> p~ City of Eugene <br /> G '(~i'}~ cJ fi'~c'~ ~,5 ~j ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> service ID: 3 ~ 4 ~ SID PB ~ ~ (541) 682-5560 <br /> _ GL JC _ JE _ <br /> Project title: AiQAo2~- - -t'~ok.i L~tu~~ pA.t~xv~er-,S~ (2.e,t,t,,,to <br /> (locairon a work descnption) <br /> Project manager /contact /private engineer: C7A.le.. VYl r L Lc <br /> PROJECT SCOPE: <br /> Paving: ~b t Bike lanes /paths: <br /> (widths) <br /> (width) <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 /> Account code <br /> Fed /State / Coun ~v v~ ~c'n>~'~-' ~ D ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 2 _w~ a <br /> ~ 2eA iL14.G ~ >F k l ~-.r ~ A J <br /> a x i L~aA/ s ~ w) .sGdT?~' <br /> ~ <br /> APPROVED: <br /> Project Manager cTr~~7~ ~ d~ Date ~Z ~ ~ <br /> Principal Engineer Date /Z oil <br /> Facilities Manager Date <br /> City Engineer Date y Z -~aO <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9 t5~32 Q ACK -~~d ~~-~7'" ~xX~X ~1~~~~ <br /> GL Title t - ~ ~ ! G~ ~lL~~~~i ~ ~jC~~ <br /> Assigned by Date /~-~~~C~C~ <br /> Accounting by Date - <br /> ATTACHMENTS: <br /> ' ~$udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <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 /> <br />