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PROJECT AUTHORIZATION FORM Public Work . <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID ? PB ~ GL ~JC t! JE _ <br /> Project title: ~ ~ ~ <br /> ~ ~ <br /> (location d work description) <br /> ~ <br /> r <br /> ject manager contact /private engineer: C/~ <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 SpURCES: S~jZ 43~j2 <br /> City Assessments Private Other department ~45o t5 <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1~~~ <br /> APPROVED: <br /> Project Manager a Date <br /> Principal Engineer Date ~ ~ <br /> Facilities Manager Date <br /> City Engineer ~ Date Q~f <br /> /FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. `"?t j D2~ ACK 53~- - 933- X XxxX g1502~4 <br /> GL Title W ~ L>,'~ live 1N~a~n,l?wle CanSr <br /> Assigned by Date Q ~2 ~ ~ b0 <br /> tl I~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> i <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public lmprovement 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 />