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i <br /> . PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~~C~ 5S City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / ~(/y1 (541) 682-5560 <br /> Service ID: SID y`/ PB _ GL _ JC JE _ <br /> Project title: _r'Yl~-,~' ~1, <F~'~~~ ~~~~~1 ~ C1~ ~2:-~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (widt o <br /> Sanitary sewer 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. / INTERD ARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> <br /> ~ <br /> Project Manager - - Date <br /> Principal Engineer € Date ~ ' ~~'r~ f <br /> Facilities Manager Date <br /> City Engineer Date y - z5 ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~3, 93~~ JC XX+X X ~o~~~/~'' <br /> GL Title ~ V cv'rU ~ ~ /rr10ralo~~~~ifS <br /> Assigned by Date / <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Peti ' <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request ~ ~ <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map c=~ <br /> ? File Request Form (~/P 0 ~ / ec~~~ ~Lt~Q1 <br /> ~ <br /> ENG 415° WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JA UAR 2000 <br /> .a <br /> <br />