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<br /> „~......~V <br /> a <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> ;f't,.,,,...• Public Works <br /> • City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> i ~ ~ ~ (541) 682-5560 <br /> Service ID: l.f SID_ PB b~ GL~! JC JE _ <br /> Project title: '~"f ~:,tc,,.' ~~t~;,. t-~.+"1~:_.~ f:`.t.:.,;" ro z ttt), <br /> (location and work description) ° <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> r• <br /> 7 <br /> Capital Project No. ~ ~~~i ~ ACK c'''- ~~X Xk x.. s-..~.-~°' i <br /> GL Title ~~~t ~ (1A-~'.1~ a-f t.~ t'_.. l 1 ~~~"'1 <br /> Assigned,t)`y" _ ~ ~ i ( Date <br /> f' .~r' <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 /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />