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PRt~JECT 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'"?r~? <br /> Project title: ~ ~ ~-C/ ~ ~ ` ~ <br /> (locatio n work description) ` ~ r ~ ~ <br /> Project manager /contact /private engineer: ~ C~~/~a~~~ ~1~ <br /> PROJECT SCOPE: <br /> Paving: ---~s~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) /j0 <br /> Sanitary sewer Storm I ~ 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 /> <br /> ~i <br /> APPROVED: ! f <br /> Project Manager ` Date - <br /> Principal Engineer Date <br /> Facilities Mana Date c~ <br /> City Engineer Date 1 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3 ~ 39 ~ ACK ~D3 ~ ~3 ~ XXXxX ~ X39 <br /> GL Title ~ " I ~ ~ '~~C~~~ <br /> Assigned by Date q~Z 1'00 <br /> II ~i <br /> Accounting by Date <br /> ATTACHMENTS: <br /> tr ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> `t. ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> "E~ile Request Form <br /> E/NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />