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" PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Q (541)682-5560 <br /> -Service ID: ~ -I SQ SID_ PB _ GL _ JC JE ~L <br /> Project title: _ <br /> ~'114E2"-I"Illl D~II~E ~(PE 1 >m~20(7[=Wl~'Il7T~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: st/ ~ Bike lanes /paths: ~ ~ <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside ~ ~ a <br /> rt (length) (width) <br /> Sanitary sewer //D Storm sewer Landscaping <br /> Signal _ Street lights ROW required <br /> New building construction~(L Planning, other Remodel /U~ <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMEN /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTIO <br /> t, ~ ~ ~ <br /> i <br /> APPROVED: <br /> Project Manager ~ Date ~~~~6 _ <br /> Principal Engineer Date Z ~ 2 (o -'a <br /> Facilities Manager Date <br /> City Engineer Date " <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1 ACK <br /> GL Title ~ 1/.f ~/~I/ <br /> Assigned by o Date a _ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> `4,, 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 / Engineeririg File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />