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PROJECT AUTHORIZATION FORM <br />~ ~v~ <br />Engineering <br />Public Works <br />Service ID: ~~~~ <br />Project titie: ~~~~ ' <br />(location and work description) <br />Project manager / contact / private engineer: <br />~ .~ <br />-' JC ~ JE Y <br />, ~. <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />-- <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 SO CES: <br />City Assessments Private <br />Fed / State / County / FAA <br />N1alIENTS / SPECIAL ~RO <br />INFO. / <br />ENT <br />c~ <br />( %, fixed) <br />~~ ~fc~ <br />APPROVED: ~~ ~ ~~~~ <br />Project Manager Date <br />Principal Engineer Date i 2'~~ "" ~~ <br />Facilities Manager, '' ~' ~ Date <br />, <br />~ ~F;~ <br />~ ~r ,,r <br />City Engineer„~.. ~ ~°~~-°' '-. `~ ~~~-~' Date ~ ~ <br />. _ ' ` ~- , ~.~- <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~~ ~ ~ ~ ACK ~ )~' -`~~ ~'~~'~~ ~~~~ ` ~ <br />GL Title ~- ~ t '~ ``--' <br />Assign d b 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 />Other department <br />Account code - <br />