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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 ~ JC _ JE _ <br /> Project title: ~ <br /> ~~~i~ ~P~~ <br /> (lacatron and work description) y~~,,~_ 1. <br /> Project manager /contact /private engineer. ~~2 I"//'~ ~1 v ~C ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (ier>~) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other R~S~~~ Remodel <br /> FUNDING SOURCES: .3~/ ~3-~ 9ms~~oz <br /> City Q©~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / NTE DEPARTMENTAL WORK DESCRI TION: <br /> (~'i/j <br /> ~ - 3 2D D77"~ <br /> ~ ©o0 0 <br /> APPROVED: <br /> Project Manage Date ~ ~ 7 <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. `l USaS~a ACK 3°2I - 4~3$ _(o ~~q/ '~~$~S~a <br /> GL Title <br /> Assigned by 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 /> J City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Fle GOLDENROD /Project Manager JANUARY 2000 <br /> <br />