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` PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> i 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> ' / ^ (541)682-5560 <br /> Service ID: ~ ~ SID ~ PB ~ GL V JC JE ~'i-~ <br /> Project title: ~ ~ ~ 0~~ ~Y1 <br /> (lo 'nand wo descnptio p~ /,/pp y~ <br /> (6dV-1/) ~l 1 ~ <br /> Project manager /contact /private engineer: ~ ~ ~ I tea` P_!~ T~l ~ "a F'Ja., <br /> PROJECT SCOPE: / 1 / ~ <br /> g: ~ Bike lanes /paths: <br /> Pavin y <br /> ~ (w<drns/ (widrn) <br /> Concrete vgalks: Setback /Curbside <br /> ' f~ (lent) /(width / <br /> 7;~~r_sww~r ~ Stormw$earer 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 /> { <br /> <br /> t _ <br /> APPROVED: _ <br /> Project Manager ~ Wes" ~ Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 7 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~`3~~~ ACK C7~~~ ~X~XX ~~~3~~~ <br /> GL Title ~f ~ ~ (~l'~~~, ~ ~.~.3~~V~lY1C~ 1..~~~~ <br /> Assigned by a t j~ Date ~ j ~ <br /> Accounting by Date j~ a~~ <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 ublic Improvement Permit Application ? Map <br /> '~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />