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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> .y--~" 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ' r (541) 682-5560 <br /> Service ID: SID ~ PB ~ GL JC JE <br /> Project title: a~ ~du-~ L-~~Z~~~="t~j l~~t~.~1~ ~1C-~~~- ~~$-'~2_~.. <br /> (location and work description) <br /> Project manager/contact /private engineer: (I~d' r~J <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> Qength) (width) ~ <br /> Sanitary sewer Storm sewer Landscaping ~~r~d~ <br /> Signal Street lights ROW required <br /> ~G <br /> New building construction Planning, other 1~1E~~ F~emodel <br /> FUNDING SOURCES: ~ S I 'C~ 'z-li ~ <br /> City _ Assessments Private ~ Other department <br /> ~°a~~~r ~`1 °~~r~~ ~-/ig~1~~ Z Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ' C:-~ ~'~~r t-•- ~~4 ~ f7E S PSI ~ ~ ~/.5~~.1~~,~-~ ~._-~-f <br /> f <br /> APPROVED: <br /> i Project Manager Date <br /> <br /> i <br /> r Date d 7.-' <br /> <br /> I o r ~ m~uk <br /> Facilities Manager Date <br /> HIV S! D~ !M r ~ Date ~ -C~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~.~rX~C ~0~~"073~. <br /> GL Title ~ ~ 19-/t'.~ C/~ C Cl~~ <br /> Assigned by Date <br /> Accounting by ~ Date ~ o ~ ~ <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? En ineerin Service Work Re uest <br /> 9 9 q <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 /> ~ I ~I~~- <br /> <br />