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r t <br /> ' I <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciiy 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 O <br /> (bca ' wwlc desaiptbn) / <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: ~ <br /> Paving: ~ 5~ (~Qr I ~ Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (tenydil (width) <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 (~o, fixed) <br /> COMMENTS /SPECIAL PROJECT IN / INT EPARTMENTA WORK DESCR ION: <br /> ~r ` S r S <br /> uc <br /> v <br /> APPROVED: <br /> Project Manager Date t <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date `7 ~ <br /> 0 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g5552~ ACK j3'J ~~XX1~k -1~~~~ <br /> Ip~ p w i 1 <br /> GL Title ~7 /1 <br /> Assign y Date . ` U <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 /> <br /> . ~ File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD !Project Manager JANUARY 2000 <br /> • <br /> <br />