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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> A,~i~~'C+ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ' ~~1 /'tea ~ , / Q / N (541) 682-5560 <br /> Service ID: (ld SID' ~PB V GL v JC ~ JE <br /> Project title: <br /> (location <br /> andtwork description <br /> ~ ~e ~ ~ ~ t` <br /> Project manager /contact /private engineer: L (i~ ' L' : i 1' _ ~ ""'~..~r' ~~W ~ t ^ <br /> PROJECT SCOPE: <br /> ~s ~ <br /> Paving:.. ~C ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> length) a (wilt <br /> e ~ <br /> T~~ Storm ~ ~-'~d Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private r _ 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 <br /> Principal Engineer Date <br /> Facilities Manager ~d ~ Date <br /> City Engineer ~ Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3~ 39~`-~ ACK (0 3 ~ G 3 3D XxXXX 3`139 <br /> GL Title 1~7' l~~P~') ~e~2 ~J' ~CL~'e,5 <br /> Assigned by t'~GLIz'lu.,~`~ Date q11 Z~DU <br /> Accounting by I ( 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 ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />