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r <br /> s <br /> ' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541) 682-5560 <br /> Service ID: SID_ PB GL _ JC_/ JE _ <br /> Project title: r' ~ r er <br /> r -Fo ~ <br /> Project manager /contact /private engineer. • t>7 <br /> PROJECT SCOP~: M ~ ~ ~ / <br /> Paving: ~ . Z ~ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <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: <br /> -~r ~hiS 2 r' ~eSc~ <br /> r r coy oral , <br /> APPROVED: ~ <br /> Project Manager Date ~~dL <br /> Principal Engineer Date ~ " ~ <br /> Facilities Manager Date <br /> City Enginee Date ~ > ~ C <br /> -J: <br /> Y ADMINISTRATION ONLY r-, <br /> Capital Project No. ACK ~ ~3 ~33a ~nX~ `r~J' S S 1 i <br /> ` c- <br /> GL Title <br /> t n <br /> Assigned Date . ` <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 /> <br /> ~ File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />