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r~OJECT AUTHORIZATION FORM Engineering <br /> ` Public Works <br /> ~ ~ City of Eugene <br /> 244 E. Broadway <br /> I Eugene, OR 97401 <br /> Service ID: ~ / / (541) 682-5560 <br /> SID t% PB ~GL ~ JC JE <br /> Project title: ~ ~ . <br /> (location an wo cription) <br /> Project manager /contact /private engineer: , <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> ~ ~ry~f,~,f _ ~'ey'~th) (width) <br /> ~5~~` ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: i / <br /> City Assessments Private-,,)c Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> I , <br /> <br /> a ~ ~ <br /> APPROVED: <br /> Project Manager c~ -N f~~ `i~ Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date t <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~7 ~ ACK _ ~`3~ '~'~~x <br /> GL Title / y ~ r, D~.7~ ~1~ <br /> Assigned by Date D~ <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 /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> '''File Request Form <br /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />