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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ,/~~~5 ? _ City of Eugene <br /> d"~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~y ~ (541) 682-5560 <br /> Service ID: 1"°`~ SID PB ~ GL ~JC ~ JE _ <br /> a <br /> Project title: r ~ ' (,fur ~ • "4d <br /> (local' n and R description) ~ ` <br /> V. <br /> ~ <br /> Project manager /contact /private engineer: ~ ~ a,_ ~ l <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) _ (width) <br /> Concrete walks: S/ etback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building constructio~~ ~'j"~- ~~~"°Planning, other ~ ~i ~'3.°-~i 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 /> ~~r , d ~ C.~ seal ~`f <br /> ' ~ `~'T.'g <br /> APPROVED: _ _ <br /> _y ° T 'r Q... l <br /> Project Manager ~ ~ ~ f Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date y~ ~ <br /> FORp~USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK `ry :~L ~ ' _ ~ <br /> GL Title ~ ~ ~ . <br /> Assigned by ~ ~ Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement titifln <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Wok R`ectues~~, 4 <br /> ? City Engineer's Initiating Order iblic Improvement Permit Application ? Map ~ , <br /> .y ile Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JA,NU~Y 2000 <br /> <br />