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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~~E~ ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / ` / ` ~ (541) 682-5560 <br /> Service ID. ~ ~ SID PB GL _ JC JE "'L~ <br /> Project title: G' <br /> (location and wodc d 'gtion) , S ,~y_~ g„ ® _ ~ e~ <br /> Project manager /contact /private engineer. ~ ~ _ <br /> PROJECT SC Er ~/ao <br /> Paving: ~ ' V ~'~~S 1~ ~ N " ~ Bike lanes /paths: w, <br /> l ) (~drn) <br /> Concrete walks: ` <br /> . 1/~ Setback /Curbside <br /> p (length) width) <br /> Storm.. <br /> ee~re'r~ [ 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 /> r , <br /> <br /> ~ _ <br /> APPROVED: <br /> Project Manager Date ~ v <br /> Princi al En ineer <br /> p g Date <br /> Facilities Mana er <br /> g Date <br /> City Engineer-~~'~".f ~ ~ l~I,f= ~ Date ~ ~ <br /> FOR USE BY ADMINISTRA//T~~ION ONLY <br /> Capital Project No. ACK ~03~ ~l~7~0 XlCSCXX 37398 <br /> GL Title <br /> .Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ' ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 />