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_i <br /> j . <br /> P~OJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> • 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Sejrvice ID: "`~`i/'-~~ *5 f/ / J~3 SID_ P~,IB _ G/L+_/ JC _ JE _ <br /> Pr~ject title: c~/? ~ ~ • }~?r~'' ,4~~ ~*~cs' <br /> ~ potation wont ) <br /> .2'uox ~ 2 <br /> r ~ f <br /> Project manager /contact /private engineer. ~ / t <br /> j PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (width) <br /> ~ Concrete walks: Setback /Curbside <br /> ~ (iergtl, (width) <br /> Sanitary sewer ~Ca",,Y.~~ Storm sewer Landscaping <br /> i Signal Street lights ROW required <br /> i New building construction Planning, other Remodel <br /> !FUNDING SOURCES: <br /> City Assessments Private Other department <br /> dry ~~t. Account code <br /> ,Fed /State /County /FAA ~ .Q fixed) <br /> CO~IIMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> (APPROVED: <br /> Project Manager ~ Date <br /> !Principal Engineer Date 7 ~ ~Q ~ <br /> Facilities Manager Date <br /> City Engineer ~ ~ I~/ Date ~ ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> ;Capital Project No. ACK <br /> GL Title <br /> i <br /> i <br /> Assigned by Date <br /> jAccounting by Date <br /> ATfiACHMENTS: <br /> ,1~ ~udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? ADC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? ~iry Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ? Bile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br /> i <br /> <br /> i <br /> <br />