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1. ~ <br /> <br /> - ~ ~ ~ LJ <br /> { ~ <br /> ,,O~IECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> , <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: `I f ! ~ SID PB ~ GL ~JC ~ JE - <br /> Project title: ' ~ ~ ; , ' v . ~ ~ j ~ i ~ i r c ~ ~ ~ ~ f~' ! ~ . <br /> (location and work description) p f <br /> Project manager /contact /private engineer: _ i~ ~ < , j ~ ~ , ; ; .t ; e ~ <br /> PROJECT SCOPE: <br /> f <br /> Paving: ~ ~ ~ ry Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: ' Setback 1 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: ~ <br /> City Assessments ~ Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ 1 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer ~ "i' ~ ~ "f ,i-- ~ - Date ' ~ I c; <br /> Facilities Manag~t' Date <br /> City Engineer ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ '°Y ACK ~ ~ " k' ' ~ ut <br /> n/ <br /> GL Title ~ ~ ~ ~ ' .a . <br /> f' ~G <br /> ! , <br /> Assigned w.. 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 />