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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> _ S ~~`S`J ~ Eugene, OR 97401 <br /> Service ID: 1 (541) 682-5560 <br /> J ~ SID PB _ GL JC JE <br /> Project title: y' , ~`d ~ <br /> location and work descri tion <br /> ~ .fit ~D ? ~ -~1 ~P <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <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 Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM ENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~`L - Oa <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ~ ACK ~ ~ j ~ ~~X x ~ 7~~~ ,Z- <br /> GLTitle ~A~YI'!l)~T lc1f~ <br /> Assigned by Date ~ ~ <br /> Accounting by Date ~ ~1 ~ <br /> ATTACHMENTS: <br /> <br /> • ? Budget Estimate ? Qeveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet .Jt'`~~ngineering 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 />