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Engineering <br /> <br /> ,ac PROJL~CT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> AC~~j S 244 E. Broadway <br /> Eugene, OR 97401 <br /> i ~ t % • / 541 682-5560 <br /> Service ID: ~ `i~ SID ~PB GL ~ JC JE _ ( ) <br /> Project title: '~t~ ~Li ~J~l~'~y~1~'~'"G~ ~iJJGd~-~~t''~ ~~1~~~X1~-~~J <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ ~l ~ ~Sr-! GAL ~~(~S ~L9'A~N(~y- <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction annin ther Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other department <br /> ~ Z'E7Z. Account code <br /> Fed / <br /> Sta~un /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ [4, a~0 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date b ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> _ <br /> Capital Project No. ~ C ACK °°I ~ ~7'~J~~ <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date ~ ~ <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 1 Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />