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` PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> ° ~ ,J C'T ~es`J 244 E. Broadway <br /> / ~ Eugene, OR 97401 <br /> 1`/ (541) 682-5560 <br /> Service ID: m~~ SID_ PB _ GL JC ~L JE <br /> Project title: ~,,~q~ irk ~'Cgt~-© ~ ~ <br /> (locat~d ~ %on) ~ ( ) <br /> Project manager /contact /private/ engineer: ~ cG ~ <br /> PROJECT SCOPE: / <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) ~ (width) <br /> Concrete walks: i Setbac /Curbside <br /> ~ (length) ~ 1 ~ ~~~h)! ~ <br /> Storm ~a 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 /> i <br /> APPROVED: <br /> Project Manage Date- <br /> Principal Engineer Date ~ <br /> <br /> i <br /> Facilities Manager Date <br /> City Engineer Date ~Z ~ Old <br /> FOR USE BY ADMINIS/TRATION ONLY <br /> Capital Project No. ACK (Fe~~ <br /> GL Title ~ ~S <br /> Assigned by Date ! <br /> Accounting by ~ ~ Date jl <br /> At?~HMENTS: . <br /> i [Budge Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> _ ~t~C Budget Worksheet ngineering Agreement ? Engmeering Service Work Request <br /> R`° L~9~City Ei~ eer's Initiating Order ublic Improvement Permit Application ? Map <br /> File est Form <br /> ENG.4~`~~ WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />