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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541)682-5560 <br /> Service ID: ~ SID ~PB ~GL ~ C JE <br /> Project title: 6 ~ ~ l~ ~ ~ ~ ~ V ~ ~ ~T~ <br /> (location an odc descnp~o`n) . <br /> Project manager /contact /private engineer: Q~ ~ <br /> PROJECT SCOPE: i ~ I <br /> Paving: Bike lanes /paths: <br /> (w~dlhs) (width) <br /> Concrete walks: Setback /Curbside <br /> V'1/ . ®~en9th) (width) <br /> .~~w~r c~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~f <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 Manage Dat~ <br /> Principal Engine Dat <br /> Facilities Manager Date <br /> City Engineer Date /2-'/' Bp <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. '~`73GJa,3 7 ACK ~ ~ X <br /> GL Title /(/10.~~~~® 4~fd,~,~/.~il~6c~~/i ~fl~'j'~ <br /> e / <br /> Assigned by ~ Date ~°~~jdlG'~ <br /> Accounting by tJ~ Date <br /> ATTACHMENTS: <br /> <br /> ( ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvemere~ition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Req`e'st ~ ~ <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ' ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager J D00 <br /> _ _ <br /> <br />