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PROJECT AUTHORIZATION FORM engineering <br /> Public Works <br /> /i City of Eugene <br /> ~c.C-~~~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / (541) 682-5560 <br /> Service ID: 1, I SID PB ~ GL ? JC ~ JE _ <br /> Project title: IfV ~ ~ -r , ~ ~.Q <br /> ~ (J,~1 <br /> (location an wo descn ~ p _ G~ <br /> Project manager /contact /private engineer. ~~1~~- ~ i`~ ~ ~y~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete wya~lks: Setback /Curbside <br /> W:~`G V1o`~T31 (length) (width) <br /> Sat9i#~er~r-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. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ' <br /> Project Manager ~CC~~"1"~ 1 ~~Ci'4"~N~t~-~ Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 7 `L -v j <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~ ~ i <br /> GL Title G ~ v e ~ l ~ I' /1 SQ....,L.. <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Impro nt Pe~t~~ion,~ ~ <br /> a~ <br /> ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work .lest ~ <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ~ - ~ - <br /> C~ile Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager J U;1n,l' 2~ <br /> <br />