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Engineering <br /> <br /> ' ~ PRI~JECT AUTHORIZATION FORM Public Works <br /> Y <br /> City of Eugene <br /> G 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ / ~ (541) 682-5560 <br /> Service ID: ~ ~ -5 Q SID! PB ' GL ~ JC ! JE <br /> Project title: fit./ / ..5- T i'lt V / = S~~ /Y'I / G M N/ =C~ ! ~ l~l< <iJ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: //1-- ~ u.•1~ ~ T <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm aarrF , 9 _ <br /> ~ <br /> D Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~aU F~v~r ~33=~ ~ ' Qt s a~L <br /> City Assess~fien~s~`'' Private ' ~ = ~ther department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> ~ ~ <br /> APPROVED: <br /> Project Manag ' Date / <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> L_ ---3 Date 7/i <br /> City Engineer, <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No.~~a ACK ~ ~ ~ 'L~ ~G'~'~~'~ ~ ~ S <br /> r <br /> GL Title <br /> ~ Date <br /> Assigne y , <br /> ~.r <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 JANUARY2000 <br /> <br />