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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Q~`• <br /> ~ ~ City of Eugene <br /> fi` 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~"'~S~ .p (541) 682-5560 <br /> SID PB _ GL _ JC - JE N <br /> Project title: Y tL A 2 P- LL Q, rc~ a <br /> (location and w do descnpfion) <br /> Project manager/contact /private engineer: s-1 ~ ~-6 L~- ~ <br /> Qd~ ~d~L ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (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 /County /FAA ~O ~i3-l~ lD,/e 1Q-t 2 ~L3f2~~; fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~ v <br /> J B <br /> rJ A ~:py~-? <br /> APPROVED: <br /> Project Manager Date ~~~~o <br /> Princi al Engineer Date ~ ~ L-- <br /> 0ldr anager Date ~ z°` <br /> City Engineer Date ~/~/d Z- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~®7~ ACK ~~0~ ~~~X ~ ~a~~~~' <br /> GL Title ~ ~1`-f? <br /> Assigned by Date ~ ~ <br /> Accounting by ~ Date ~ ~ <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 ? 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 />