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Engineering <br /> PROJECT AUTHORIZATION FORM ~ Public Works <br /> City of Eugene <br /> ~1 244 E. Broadway <br /> Eugene, OR 97401 <br /> r~~ _ / ~ ~ ` / ~av (541)682-5560 <br /> Service ID: ~ o~ ~ SIDr.P6 _ GL r JC ~L JE <br /> Project title: ~ V r ~ , <br /> r ~ r t n r r n <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> rte/ r~ <br /> Concrete walks: Setback /Curbside <br /> (1 rwrdtn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA (°k, fixed) <br /> COMMENTS /SPECIAL PROJECT 1 O. / I DEPARTMEyy~~AL WORK DESCRIPT{ON: <br /> r -th r,t' ~ r es,. <br /> r ri?` r <br /> c _ , <br /> L7 <br /> C~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> i <br /> c> <br /> FOR USE BY ADMINISTRATI.ON^ ONLY C C <br /> Capital Project No. '"'SrJ~ ~'T ACK 1~~ ~~`~X ~ J ~ <br /> GL Title ~ <br /> Assign by c Date ~ r <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD 1 Project Manager JANUARY 2000 <br /> <br />