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1 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> }r'~ City of Eugene <br /> 244 E. Broadway <br /> ` Eugene, OR 97401 <br /> <br /> I/ ~ ~ ~ ' <br /> 1 r (541) 682-5560 <br /> Service ID: ~~.e ~ SID ~ PB ~ GL 'w" JC ~ JE ~ <br /> (7n.. f' P, t <br /> Project title: ~ ~ ~ 1 a c t~ k'~"r°'r'~ . a s i' r'~ <br /> (location and work descriplwn) <br /> Project manager /contact /private engineer: /j <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (win/ <br /> Concrete walks: Setback /Curbside <br /> (ienyrn/ (widtn/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: r";.a_,y`~ "~.s ~ <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 /> r <br /> Project Manager ,"...+~'I. r~'I~ ~ -_.~`r. .~:~'...r~.k`~r".GLc, Date <br /> Principal Engineer ' Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~'s ACK ~ 't <br /> GL Title ~ ~k :_~3:~ % l~d'1 <br /> Assigned~y ~ ~./~T~.~, 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 /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request ~orm <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />