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` PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> A ~ ESS ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ ~ SID ~PB ~LGL ~JC JE N <br /> I ~ <br /> Project title: ~ , t Q. '~l''~Y1 ~L`1 t~ s <br /> (locatio~ <br /> nand work de~criptio~ ~ ~ ~ ~ ~1 <br /> Project manager /contact /private engineer: ~ ~ L-~~ ~ l~1Vi'~ rtl> s~~ <br /> PROJECT SCOPE: <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ` <br /> Sanitary sewer Storrrr~~~idtOr ` ~ 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 /> l <br /> APPROVED: _ <br /> Project Manager ~-~~~'E'~`~ ~ Date ~ ® ~ <br /> Principal Engineer Date <br /> Facilities Manager _ Date <br /> ° ~ <br /> City Engineer ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. .3'13905 ACK ~03 ~ 9330 XXXXX ~ ~34D~ <br /> GL Title E !5~ MoSS ~v (/ill ral <br /> Assigned by ~ Date X21 00 <br /> 11 <br /> Accounting by ~ ~ Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> `ti;, ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form CCC <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ _ <br /> <br />