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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 _ <br /> Project title: ~ j~ ~-i<. <br /> (location and work description) <br /> Project manager /contact /private engineer: '.>~f J j S ~ --~j~ <br /> PROJECT SCOPE: ~ ~ )`~]~~Y~~?/~-d`~---r- <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'~~~. l~~ Assessments Private Other department <br /> Account code Q® ~2 <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIAL P OJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ I <br /> APPROVED: <br /> Project Manager -~A' Date <br /> Principal Engineer r~~s~.~-~- Date R• <br /> Facilities Manager Date <br /> City Engineer ~ ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> 1512.2. <br /> Capital Project No. 9~~~~ ~ ACK ~21 935 <br /> GL Title ~--~0~ P~"~ <br /> Assigned by Date a ZI DD <br /> d 1 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <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 ? Public Improvement Permit Application L~ Map <br /> ? File Request Form / <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ <br /> <br />