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PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> G~----------~ ~--s9.~'~ Eugene, OR 97401 <br /> / / / _ ` (541)682-5560 <br /> Service ID: ~~(P ~ SID PB GL JC JE <br /> :,Project title: bl/ <br /> (location and work descriptio ~ ~ ~ ~ T ~ ~ • <br /> Project manager /contact /private engineer: ~ N V K <br /> PROJECT SCOPE: <br /> Paving: W.~~GakY~,~~~i'f~(l ~ mike lanes /paths: (width) <br /> Concrete walks: ~ ~ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer L~ll~ Storm sewer.~~ Landscaping Y~fS <br /> Signal Street lights ROW required !~O <br /> New building constructionV~~7~1(~.~I~Inning, other Remodel ~0 <br /> FUNDING SOURCES: <br /> City Assessments Privatef2'(~E~f.~T Other department <br /> I Qbi7 '..~'G~ X600 Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~o v u v~- ~b S <br /> 2.00 . <br /> ~ ~ ~ 5/ <br /> APPROVED: <br /> Project Manager Date 3 2~~ <br /> Principal Engineer ~ Date ~ ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~as~/ a ACK~~~~335 /~~l -~dS~-/.>~ <br /> GL Title ~/'c!/I?Sovr~ U ~/n~n~' ~~tL~! <br /> Assigned by ~i fld! Date <br /> Accounting by it Date ~f <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Develo er A reement <br /> p g ? 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 />