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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> j - 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~j . / (541) 682-5560 <br /> Service ID: SID ~PB ~ GL ~ JC ~L E" <br /> Project title: <br /> (location a work cripfion <br /> Project manage /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: ~3 <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMME S /SPECIAL PROJECT INFO. / I~ERDEPARTMENTAL WOR DESCRIPTION: <br /> be.' _ ~~e <br /> , <br /> ~9w <br /> APPROVED: r' <br /> j Project Manag Date ~ d <br /> Principal Engineer Date ~~2(0 <br /> Facilities Manager Date <br /> City Engineer Date <br /> <br /> I FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~3a ~3 <br /> GL Title ~ _ ~ <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> i' <br /> ~~°Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 />