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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> ~ i/ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~y / (541) 682-5560 <br /> Service ID: I~--. _ SID_ PB ~ GL JC _ JE <br /> Project title: 1 \ <br /> ~ '"C'"'(,~.~~ ~ ~ - <br /> (locahon ~~p °n ~ 1 111 VL V V ~ l ~ ~ <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE~~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~A (length) ( h) <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 /> APPROVED: <br /> Project Manager Date ~ ® _ <br /> Principal Engine Date <br /> Facilities Manager Date <br /> City Engineer Date ~ " ~3 -DO <br /> FOR USE BY ADMINISTRATQION ONLY <br /> Capital Project No. ACK ~ 3 ~ -`33~ XX.X~C )C 37 ~J$Q 2 <br /> GL Title Kas}(~-~Llt~l r ~Q~ <br /> Assigned by ~~~N ~un~ Date _ ~ Z~ DD <br /> Accounting by ~ Date t ~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? Ity Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ _ <br /> <br />