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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ / ~ Eugene, OR 97401 <br /> Service ID: (541)682-5560 <br /> SID_ PB _ GL JC JE <br /> Project title: Q <br /> (bca ' worlr descripran) I <br /> Project manager /contact /private engineer. <br /> <br /> i <br /> PROJECT SCOPE: ~ <br /> Paving: ~ S¢ ~~Q r / ~ Bike lanes /paths: <br /> /1 <br /> Concrete walks: Setback /Curbside <br /> (1 (~1 <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 /> vi± <br /> APPROVED: <br /> Project Manager Date ~~f.~e~ <br /> Principal Engineer Date ~'d 4-- <br /> t <br /> Facilities Manager Date <br /> City Engineer Date 7~?~~ I <br /> t-- <br /> 0 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. "~~~52~ ACK j~~ ~~X~k `t ~~5~ <br /> GL Title ~ ~ w ~ ' <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 /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />