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PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> S ~ City of Eugene <br /> ~ 1 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> ~`~~`3 SID ~ PB ~ GL X JC ~ JE <br /> Project title: ~ i~D~~ i~jiry <br /> (lorat~on and work ®escription) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> <br /> j (length) (width) <br /> Sanitary 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 Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ 3 l®` <br /> FOR USE BY ADMINISTRATION ONLY g1(~b~0 <br /> Capital Project No. ACK 3 <br /> GL Title g° ~ ~ , <br /> Assigned by Date <br /> Accounting by ~~2 Date 7,/ <br /> ATTACHMENTS: <br /> Bud et Estimate ? Develo er A reement <br /> ? 9 p g ? 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 />