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~ , <br /> ~l~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: - SID_ PB ~ GL _ JC ~E , <br /> Project title: U~- <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: (wi ) Bike lanes /paths: (~dth) <br /> Concrete walks: l.~'~~ O~Z Setback /Curbside <br /> (length) ( h) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDI G SOURCES: <br /> City ~ h'~~ Assessments Private Other department <br /> ~ Account code = tH ~ > < <br /> Fed /State /County /FAA ~,j ~ ~ "fixedj', <br /> COMMENTS /SPECIAL PR~OJi,ECT I1NFO. / INT~cERDELPARTMENTAL WORK DESCRIPTION: y, ; , <br /> <br /> ' 6t ~ ~fi vL.1f IY ~~L,9~~ ~ ` `l P 1.4., ~ ~ / kI~ ~ l !t "fig'(i t{^r + <br /> _ _i <br /> l yr' f , t - 4 <br /> r Y <br /> r <br /> 't ~ ~ V~ i try . f ~ t~V1~j i ,s) , .i „ <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer ~ - Date I <br /> Facilities Manager r Date , <br /> City Engineer 'r ~ Date ~/r <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK Z- ~,,,/yC.~X..~( ~ <br /> GL Title ` ~ G c~ ~ ` <br /> Assigne by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: . <br /> ? Budget Estimate~,pyf;.t ~~1~ ? 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 JANUARY 2000 <br /> <br />