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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> <br /> • / City of Eugene <br /> ~~rit.S - rrt:Fxs.~' 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~j • ~ , / / (541) 682-5560 <br /> Service ID: SID PB" GL ~ JC ~ JE A <br /> Project title: ~'d V ~ L~ ~ !~J ~ ~ V <br /> (lo tion w rlc des ri ~ V <br /> Project manager /contact /private engineer: V~ ~1 ~ <br /> PROJECT SCOPE: <br /> Paving: ~ v { ` ~l~ ~ Bike lanes /paths: <br /> (widrns) (widrn) <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 /> CO E TS / SPECI PROJECT INFO. / INTERDEPARTMEN AL WORK DESCRIPTION: <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. ~ ~~g`3l ACK X~~~~ 7s~`~~/ <br /> GL Title ~ ~ j <br /> Assigned by d'~ ~Z~'~' Date ~j ~ _ <br /> Accounting by Date Q~ _ _ <br /> ATTACHMENTS: <br /> r. ? 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 <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ <br /> <br />