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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> A CGS S 5 City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> J J J / (541) 682-5560 <br /> f <br /> Service ID: SID PB _ GL - JC ~ JE V <br /> ~ <br /> ~ ~ <br /> Project title: l % ~~T <br /> (location and work description) ' <br /> _ <br /> Project manager/ contact /private engineer: N x _ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (widen) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights _ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City O~ S~l~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM ENTS /SPECIAL PROJECT INFO. / INTERDEP RTMENTAL WORK DESCRIPTION: <br /> I ° - d-wc~? o~n <br /> ' Gi+-r?~.vn- <br /> ~~v <br /> ~ ~ , h~ <br /> APPROVED: <br /> Project Manager Date- ~ t ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK 9~.~~~~- <br /> GL Title <br /> Assigned by Date ~ ~ <br /> Accounting by ~i Date ~ ~ ~ d <br /> ATTACHMENTS: <br /> <br /> ~ udget Estimate~~~ ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Wo heet ? 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 /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ <br /> <br />