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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~ ~ City of Eugene <br /> ~-C- 244 E. Broadway <br /> Eugene, OR 97401 <br /> - / (541) 682-5560 <br /> Service ID: ~ ~ C SID ~ PB ? GL ? JC JE <br /> Project title: ~ ~ 1. <br /> (location and work descripfion) c <br /> Project manager /contact /private engineer: J LLB ~ S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> G ~~-~„y, (length) ~ l ~ (width) <br /> Storm 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 /> <br /> i <br /> APPROVED: <br /> Project Manager Date / '/L / <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK x <br /> GL Title / ~ d'I• <br /> Assigned by Date ~ ~ ~ D~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Im= o~een~ Petition <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service W v r~ equ~s~ ' <br /> ? City Engineer's Initiating Order ~ublic Improvement Permit Application ? Map ~ ~ <br /> File Request Form <br /> a: <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~!4NUAR)~0 <br /> <br />