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I~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ 3 City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> s~ tl / (541) 682-5560 <br /> Service ID: ~ SID PB ~ GL ~ JC ~ JE <br /> Project title: - ~ ~ [Y(~~~!)r' C`~/1r N,r;,t~f~l3.?ll~~/ N~ _ _ <br /> (location and~cription) <br /> <br /> i <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning the ~F~ ,r,~C~i;/{:S Remodel <br /> FUNDING SOURCES: ~%~,~j%a,- ~~,3'.~~~~ ~/.3 ~~r~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> d ~ <br /> APPROVED: <br /> ~o~ct M~nager C , Date ~ ~ f <br /> ~e~~~ Date <br /> Facilities Manager Date <br /> City Engineer Date ~ L ~3 l <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. V/ l ~ ACK 3~0`~ ~°3~~ X~XXX 9f~'O9yl <br /> GL Title r~E J <br /> Assigned by Date ~ f <br /> ~s/T <br /> Accounting by ` Date ~ <br /> ` ~ ~ _ <br /> 1- ATTACHMENTS: <br /> _ ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Im eme ion <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wor ~e <br /> ? City Engineer's Initiating Order ? Public 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 />