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t <br /> 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: =o c <br /> (location and work description) <br /> Project manager /contact /private engineer: i 1~~~ -i i ~ z <br /> <br /> 1 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: ~ ~j~5/~ <br /> City _ Assessments Private 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 Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ~ ~ ~r ACK ~ ~ 33~ ~C1CX X X ~ <br /> GL Title ~ ~ '(t.p1 ? <br /> ~~G G 4 T ~ <br /> Assigned by Date <br /> !g <br /> Accounting by ~ ~ Date <br /> ATTACHMENTS: <br /> ~ ' ? Budget Estimate O 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 /> <br />