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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 JC JE ~Of' <br /> Project title: ~ ~'--=1~- <br /> (location y` rk descri ~ ~ ~ ~ ~ , ` ` <br /> Project manager /contact /private engineer: ,r~V~ f~~`•I ~ <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 C Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~ Date ``J~-'~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ®D ' ~o ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ -J~XXJf.I~ ,~fi'~~ <br /> /1 , <br /> GL Title ,~~"e~S /`ivy '~re? t`'Tl~: C_'~f.~,>n <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? 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 ~ublic 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 /> <br />