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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 ~ ~JE _ <br /> Project title: ~ ~ ~ <br /> (location and work description) ~ r <br /> Project manager/contact /private engineer: F~~'I Mt ~il'~~f~j',~¢~'~ ~~~~~~_~L~'~ ft;, <br /> PROJECT SCOPE: f <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (len9tn) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUIN SOURCES: <br /> Ci p~® Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SCIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T~f.. ~ <br /> APPROVED: ~ <br /> Project Manager Date {C-~~( <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer ' Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ` t ~ d ~ ~ ACK ~ C, ~ ~ ~ L~'X k X k' f ~ <br /> GL Title ~-r,/C%~ t~' <br /> Assigned by ~ Date <br /> ~I <br /> Accounting Date <br /> t~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improveme ' ' n <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Re ~ OF F <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map G~ ~C <br /> ? File Request Form serve Fm <br /> T?S?~ <br /> <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~G?ANUARY 200 <br /> ~~~o woa`~~ <br /> <br />