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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> A ~ ~ ~ ~ 244 E. Broadway <br /> . ~ e ~ ~i~~ Eugene, OR 97401 <br /> Service ID: SID_ PB _ GL _ JC JE _ (541) 682-5560 <br /> Project title: `~~'~c--~.~~t.~~ ~ `~..~p'~t~ <br /> (location anV ~ts V ~ ~ V \Y ~ ~ V <br /> Project manager /contact /private engineer: ~ ~ -6 ~p ~~~-i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Con-ccr~ete walks: Setback /Curbside <br /> t7,Gtr~'a~' t. 7 - 9j (length) V `~~(width) 0~° <br /> --~rtacysewer ~ Storm-~~~rer 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 /> <br /> i <br /> APPROVED: <br /> Project Manager ~ ~ Date ~ <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ? ~ ~ ~ ~ ~ ACK ~ ~ ~ Xx~ X <br /> GL Title ~ ~ t ~d C J <br /> Assigned by Date <br /> Accounting by Date ~ l <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 4 <br /> File Request Form ~ ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager UAF,Y_ <br /> _ <br /> <br />