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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />/~~'' ~ ~ ~ ~~ <br />Service ID: /~~,.~ SID~PB _ GL _ JC _ JE _ <br />Project title• ~ ~~~ `7`-' <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Paving: Bike lanes / paths: <br />(widths) (width) <br />Concrete walks: <br />(length) <br />Sanitary sewer <br />Signal <br />New building construction <br />FUNDING SOURCES: <br />City Assessments <br />ROW required <br />Remodel <br />Private~__ Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ <br />( %, fixed) <br />APPROV <br />Project M <br />Principal <br />Facilities <br />Ciry Engii <br />Date ~ - <br />Date ~ <br />Date <br />Date ~ ~ j7 d ~" <br />FOR USE BY ADMINISTRATION ONLY <br />~.`~~4s~ C.~31 q3s6 (..~xx~x 3`7~ft/s> <br />Capital Project No. ACK <br />GL Title ~o~~~~ «-- ` ~ ~ ` °' ~ ~--~-~ <br />Assigned~~:~~~J l/ t ~ ~,,~~ Date `!/ ~/ ~~ <br />Date <br />ATTACHMENTS: <br />( ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ ^ SDC Budget Worksheet (,~~ ~meering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order IJ-'Public Improvement Permit Application ^ Map <br />^ File Request Form ~ <br />~~~ ,~~ <br />~~~rl~ <br />Setback / Curbside <br />~~;~h, I ~ `r <br />Storm sewer Landscaping <br />Street lights <br />Planning, other <br />' <br />, ., <br />i <br />~~ ~~ I <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JAIVUARY 2000 <br />