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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ? l ~ (541) 682-5560 <br /> Service ID: SID_ PB _ GL ~ JC" JE _ <br /> Project title: L°Y Q <br /> Project manager /contact /private engineer. r <br /> PROJECT SCOPE: ~ <br /> Paving: - ~ S4_ ~ ~ P l Bike lanes 1 paths: <br /> (1 (width) <br /> Concrete walks: Setback /Curbside <br /> (tee) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMME TS /SPECIAL PROJECT IN / INT EPARTMENTA WORK DESCR ION: <br /> P ~r ' S r eS <br /> uc , <br /> t~ <br /> APPROVED: ,n ~ ~ 1 <br /> Project Manager Date i~p~L <br /> Principal Engineer Date ~'d 4- i <br /> Facilities Manager Date / <br /> City Engineer Date `7/?~~ <br /> c~ <br /> c~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g5552~ ACK ~~X~-~ <br /> GL Title ~T ~ w ~ l' ~7 <br /> Assigne y Date . [ U <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD! Project Manager JANUARY 2000 <br /> <br />