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<br /> < . <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: 4y28,~,f SID PB ~ GL ~ ~JE ~ 4 oy ~L~ - <br /> Pro' title: ~~1-IOC~~ ~ ~i`~~K I ~ M!~" <br /> ,.~e~ d~ <br /> Project manager /contact /private engineer. ~~0~71 ~S"~ !~(G /~i4~.{GS P~,~4fNN /)~to ~~~~~l' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> r~ <br /> Concrete walks: Setback /Curbside <br /> (;~J fwtdd+) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUN N SOURCES: <br /> C ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Faalities Manager Date b <br /> City Engineer ~ Date <br /> n FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, 42.s~ D 2' ACK 3~ ~ 335 (oXXxx 925~DZ <br /> GL Title t <br /> Assigned by Date Z 3 <br /> Accounting b ~ Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improveme etitp~IT <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Req Cgt ~ 9 Y <br /> ? City Enginee?'s Initiating Order ? Public Improvement Permit Application ? Map m ~ C <br /> ? File Request Form n ~ ~ 0 <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager RY <br /> ~tS <br /> <br />