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<br /> r ' <br /> O <br /> ' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~ / Eugene, OR 97401 <br /> 1'~ (541) 682-5560 <br /> Service ID. SID PB GL _ JC - JE _ <br /> Project title: r' ~ • r er <br /> (bea ~ and work dascr~r <br /> Project manager /contact /private engineer. <br /> PROJECT SCOP~: M ~ / <br /> Paving: Z ~ Bike lanes /paths: <br /> (widtli) <br /> Concrete walks: Setback /Curbside <br /> rl rw~) <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: r S <br /> r ~h i S 2 r" cl~o <br /> r ~ r Con orb <br /> r <br /> APPROVED: ~,~c <br /> Project Manager Date ' "~"'i <br /> Principal Engineer Date ~ r ~ n- <br /> Facilities Manager Date <br /> City Enginee Date ~ > <br /> .~r <br /> ~5~5~~ Y ADMINISTRATION ONLY r, <br /> J ) I <br /> Capital Project No. ACK , ~~3a ~~x ~ ~ 5 5 S~~ ~ i <br /> GL Title <br /> ` U <br /> Assigned Date <br /> Accounting y Date <br /> ATTACHMENTS: <br /> ~~Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition, <br /> ]]ADC 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 />