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+'l~ <br /> <br /> • s"""'~ Engineering <br /> I~ROJECT AUTHORIZATION FORM Public Works <br /> a City of Eugene <br /> 244 E. Broadway <br /> ~ Y`a (541) 6820- <br /> 560401 <br /> j~,1` <br /> ` Y" ~,~ervice ID: ~~S ~ SID! PB! G - JC _ JE <br /> <br /> ~ Projecttitle: ~~~I ? ~~L'~~~ V ~ W~~~~ F1-s-~~~~1 <br /> J v (location and work d ption) <br /> Project manager /contact /private engineer: ~~1d <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <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: ~ ~ X33 9~3.~' ~ l 9 7 Sa ~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROD CT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ ~o,l <br /> Project Manage Date <br /> Principal Engineer - Date ~ ° ~--Ga=~ <br /> Q <br /> Facilities Managey Date <br /> City Engineer . ' Date4~y-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ f ACK~ ~~32 GI~X~--~`-f~~~~ <br /> GL Title 1 r ~ p ~h f. I-~ I ~ ~ Q rd ° (~.)1 ~ ~ Q.M~ / <br /> Assigne y 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 Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />