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~ PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> GG!'.~eJ 244 E. Broadway <br /> - Eugene, OR 97401 <br /> a ~ ' / (541) 682-5560 <br /> i Service ID: ~ ~ ~ ~ SID V PB v GL JC r JE _ <br /> Project title: 1~ ~i ~N a f) ~ $ ~`I, ~ r <br /> - (location and work description) <br /> Project manager /contact /private engineer. ! ~~J ~ ~ ~ ~ <br /> PROJECT SCOnPE:, i ~ <br /> Paving: ~y <br /> ~ ~ Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete w~alk/~s: S7e~rt.~back /Curbside y~'t <br /> Uli~Sr~ ~ ~ 1 ~ (length) li< V %d <br /> idth) t! r ~ G 1 / ~ <br /> ~tnla~sewef ~ ~ - Storm 1®~ J Z ~5 • , <br /> ~ <br /> ~ 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 f / <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date- _l l ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1 ACK~~~ .~~~~`f'~ <br /> GL Title t ~ a5 r 1 .H <br /> Assigned by Date <br /> Accounting by Date 1 <br /> ATTACHMENTS: <br /> j • ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Itition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map ' <br /> '~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JAN_!.=,F.1 ~ 'r u <br /> <br /> I <br /> <br />