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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> 3 City of Eugene <br /> 3 244 E. Broadway <br /> ' ~ ~ Eugene, OR 97401 <br /> d (541) 682-5560 <br /> Service I ~ ~ SID_ PB _ GL _ JC _ JE <br /> Project t e' <br /> (location and work description <br /> Project manager /contact /private engineer:',~~I~~'~- S~~ ; ~ I Z.-~,t ~ ~~~y-+~ <br /> PROJECT SCOPE: <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 Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ i v r r - ~ d nv ~ -e C~ ~+r ~l <br /> r~ c ~ ~ o <br /> r <br /> <br /> ~ ~ ~ L <br /> APPROVED: <br /> Project Manager / Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> Ciry Engineer Date g " ° -Oy <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> 1 <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415. WHITE /Finance YELLOW /Administration. File PINK /Engineering File GOLDENROD /Project Manager JANUARY2000 <br /> <br />