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1 i <br /> _ ~ n <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> ` ~s _ n/ 244 E. Broadway <br /> ~ ~ ~ - - Eugene, OR 97401 <br /> / L,, (541) 682-5560 <br /> Service ID: ~ SID ~PB _ GL JC _ JE ~P <br /> ' Project title: ~t~~A~~"°j ~~K.i ~3~ ~K(,g qAi ~ g®~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~f=21 14 ~ ~ ~ ~ <br /> <br /> ~ PROJECT SCOPE: ~ ~ <br /> <br /> i <br /> 9~ ® ~ Bike lanes /paths: (wldrn) <br /> Pavin wmrns) <br /> Concrete walks: 0 ~ ~ Setback /Curbside <br /> (length) (width) 4 <br /> Sanitary sewer Storm sewer ~ E5~ Landscaping <br /> Signal Street tights 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 ~ ~ 6z-~O u tT®, c~®G7 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> s <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ ° t ~ <br /> Principal Engineer / ~ Date x ~ " <br /> Facilities Manager Date <br /> City Engineer ~ C!' Date ~ ~ " ~ <br /> ~'OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. aa5~°~a ACK ~33~ ~xXX X <br /> GL Title f ~Is~--I (l~ ~~~i/2G ~x ~~'1~~y9r ~?l <br /> Assigned by ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~r 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 ? Pubtic Improvement Permit Application Map <br /> File Request Form <br /> (~~q~~7~® E+NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> k/ lT' r'I ~ .'J <br /> <br />