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PROJECT AUTHORIZATION FORM _ t=_ngineering <br /> Public Works <br /> City of Eugene <br /> ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID ~ PB ~ GL _ JC JE ?~~g~ <br /> <br /> I Project title: l~/Rs ~'f~>a~2 ~1 /i ~f1a~/ s~~?..~ ,~L' - ~ ~1~~ <br /> (locatipn~n~_worl5~les~phopJ ~ ~ ¢-T- <br /> Project ~ r contact /private engineer: _ ~i¢f/lt7 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: _ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer .~'y~ ®O(~ l'~- Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City A/~ssessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMEyTS /SPECIAL PROJEOT INFO. / INT//ERDEPfARTMENTAL WORK DESCRIPTIOLN~:_ P <br /> 1y~`it14-Tl~iq/ /~S~ lbdL ~~it~'~ <br /> ~1e~s <br /> t~ a~ ~ ~ <br /> ~ c~s~~~~- ~r~ p <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date ' <br /> Facilities Manager Date <br /> City Engineer Date ~~1~ ` <br /> n FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 2 ~0 ~ 5 ACK ~3 Z 9 332 ~ XkxX 425 b <br /> GL Title _ ~ I,~ /C~Ci'IQ,b 2002 /JA-S/n~S I,~C 3~' 22, <br /> n <br /> Assigned by Date -1 ~ a, <br /> Accounting b o/ ~ ~ Date ~ I ~f <br /> ATTACHMENTS: <br /> I Budget Estimate ? Developer Agreement ? Engineer's Report On Imprment Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wor~~tec nest <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ,Map n <br /> File Request Form <br /> ENG 4~ 5 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 200J <br /> <br />