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PROJECT AUTHORIZATION FORM t=_ngir,eering <br /> Public Works <br /> - ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ r-/ - e ~ / (541) 682-5560 <br /> Service ID: a.J 'TT SID ~PB GL ii_// JC JE <br /> Project title: C'Gp/~/ ~I <br /> ~~J - ~~T <br /> (location and work descripti n) <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, other Remodel <br /> FUNDING SOURCES: ~ /0%C <br /> City ? Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> GOMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTME TAL WORK DESCRIPTION: o <br /> <br /> i~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ l® ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, / ~S~~D~ ACK ~~a ~33a X XXX1'C- q~5'D(o~ <br /> GL Title ~ I'1/ <br /> Assigned by Date ~~3' ~ <br /> Accounting by Date ~T fyw <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 ? 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 /> <br />