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<br /> r ` <br /> 0 <br /> ` PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / I Eugene, OR 97401 <br /> ? V/ 1~ (541) 682-5560 <br /> Service ID: SID_ PB GL _ JC _ JE <br /> Project title: t" ~ r er <br /> (a°a ' and work der ~ / 1 i- <br /> Project manager /contact /private engineer. ~ • h <br /> PROJECT SCOP~: M ~ / <br /> Paving: Z ~ Bike lanes /paths: <br /> ~ ' (1 <br /> Concrete walks: Setback /Curbside <br /> rl r»~dn~/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM TS /SPECIAL PROJECT. INF / INT DEPARTMENT WORK DES RIPTION: <br /> r ~h i s u, r'' ~eS t• <br /> r ~ r Con - 0>1. <br /> APPROVED: ~,~c <br /> Project Manager Date t~~L "`~'f <br /> Principal Engineer Date ~ - ~ <br /> Facilities Manager Date <br /> City Enginee Date ~ > <br /> : <br /> Y ADMINISTRATION ONLY r, <br /> ~5ss~l~ <br /> Capital Project No. ACK ~ ~3 L~~x K- ~ 5 ~ S~ i <br /> ~ J t- <br /> GL Title ~ 1 ~ 'C-~T <br /> Assigned Date <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 JANUARY 2000 <br /> <br />