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t~ROJECT AUTHORIZATION FORM I=_ngineering <br /> Public Works <br /> ,,,ro_ 1,,11~e, -City of Eugene <br /> <br /> - ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: i ~ SID!' PB ~GL _ JC ~JE _ <br /> Project title: ~ ~ ~ ~ ~ <br /> 1 <br /> (location~pd work description) <br /> CJ ~C <br /> Project manager /contact /private engineer: Z'~°~ ~ ~ lf~`}' G`` <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (w;dtn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~S°t°orm sewer Landscaping <br /> Signal _ (street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~~~Date (P ~ <br /> Principal Engineer ~ Date o~~/~,B <br /> Facilities Manager yr, Date _ <br /> City Engineer f ~ ~ Date B _ <br /> FaaOR//~~ USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~?9'7S~ ACK / c~3~ ~UU~C,IC~IC <br /> GL Title ~llJ~'~ l"~3 /j? C~ <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 /> ? tty Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> _ - <br /> - <br /> <br />