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PROJECT AUTHORIZATION FORM Engineering <br /> ` Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> I ' ~ / / ~ Eugene, OR 974Uh <br /> Service ID: ""T rl// -V/ (fit) X2-5560 <br /> SID_ PB _ GL JC JE <br /> Project title: ~ <br /> lbra ' work description) <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: ~ <br /> Paving: ~ '~l 4 (lQ r / Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> f>ergtnl (width) <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 /> COMMENTS /SPECIAL PROJECT. IN / INT EPARTMENTA WORK DESCR TION: <br /> ~r ~ ' S r eS <br /> uc <br /> r~ <br /> APPROVED: ~ <br /> Project Manager Date~7 <br /> Principal Engineer Date 4-- <br /> Facilities Manager Date / <br /> City Engineer Date `~/7/~- ~ <br /> c~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 5~ S 2 ~ ACK ~ ~~XX7C~ ~ 552 <br /> GL Title ~T ~ w 1 l1 ~ ,~7 <br /> Assign y 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 /> ? Ciry 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 />