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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~,C~~S _ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~~~s,. (541} 682-5560 <br /> Service ID: SID PB X GL ~ JC ~ JE _ <br /> Project title: _ /cD~tr~ Fur~L <br /> (location and work descri Lion) <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: X' Bike lanes /paths: X <br /> Concrete walks: x Setback /Curbside <br /> (length) {width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ,X ROW required X <br /> New building construction Planning, other X Remodel <br /> FUNDING SOURCES: ~6a, ~ 3~a <br /> City X Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ( <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~Z3 ~C1 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> 9i~'o~~ 3~ a ~.~.~a X xxxx 9~50~ <br /> Capital Project No. -l ACK ~ <br /> GL Title ~n~ ~~a ~ ~ ~~~n!~9 <br /> Assigned by Date °~f <br /> Accounting by Date ~ ~ r <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On lmprovement 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 41 S WHITE /Finance YELLOW !Administration Fite PINK /Engineering File GOLDENROD /Project Manager JANUARY 201)0 <br /> <br />