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f _ q~z~ <br /> .s~,. <br /> ~R~OJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> i,<. + l 244 E. Broadway <br /> " Eugene, OR 97401 <br /> <br /> ~,r (541) 682-5560 <br /> Service ID: f SID_ PB ~ GL JC i,.° JE ~R <br /> fi ~'roject title: <br /> (location and work description) <br /> ~roject manager /contact /private engineer: t. u <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widMs (width) <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> fVew building construction Planning, other ~ Remodel <br /> FUNDING SOURCES: , <br /> t{ity Assessments Private~~ <br /> T~-~ ~ t' Other department <br /> Account code <br /> Fed /State /County /FAA fixed} <br /> OMMENTS / SPEGIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> 'APPROVED: <br /> Project Manager ~ Date <br /> f Principal Engin ~ ~ Date 1~~ <br /> ! Facilities Mana Date <br /> j -~ityl~Tnee~ Date 1/ ' ~1.~ <br /> , r <br /> FOR USE BY ADMINISTRATION ONLY <br /> ,Capital Project No. ~35n~o ACK 3~~ 9335 l~~kxYx 43s©/n_ <br /> GL Title ~r~ ~ ~ l< ~ ~ c2 ~ lc., (~CYYt st4. /1`) S f'y /"l~'? <br /> I <br /> Assigned by Date ~ ~ • <br /> Accounting by Date ~ Z ' ' ~ Z- <br /> ATTACHMENTS: <br /> f ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement 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 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />