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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~~t('Yl~j...--. ~C eSS~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ (541) 682-5560 <br /> ~ ~ / SID_ PB _ GL _ JC ~ JE _ <br /> Project title: Wb"~S ~W ~4 ~e.~' ~~%-~.~d ~l9 ~i-(T;a-i-t~r~ c~7, q a~~~+~.5 s4 - ?~z... ~ie~ ~ ~ ~I <br /> (location and work description) e ~ I <br /> Project manager /contact /private engineer: ~G~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (lengt) (width) <br /> Sanitary sewer ~~~01(~`~ ~or se~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: .r•~a{ q~SO/„sr ~~0~ 35GD <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ , <br /> 4 ~ ~~s <br /> ~ <br /> APPROV <br /> Project Manager Date Q <br /> Principal Engineer Date ' d~ <br /> Facilities Manager Date <br /> City Engineer Date 2 -/Z © ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 1507 ACK 532 a~,3Z XJC)C)CX 915'O'F5 <br /> GL Title ~ -l2. <br /> Assigned by Date D <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <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 /> y <br /> File Request Form <br /> ~S ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~ Y 20u_ ~ ~ <br /> <br />