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` ~7j~J~{1~~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> G~?S 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service I D: ~ ~ ~ ~ J J / , / (541) 682-5560 <br /> SID_ PB _ GL _ JC JE <br /> Project title: ~ ~ ~ ~ ~Ac(~ <br /> (location and work description) ~ ~ e ~A 7~'~ <br /> ~~fL~'if~ I v~ <br /> Project manager /contact /private engineer: ~ 1~ ~ ~1~ ~ - ~U-~-,~-~I ~ ~/d~ <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 /> JP r ~ 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. g.®.~°s~~ ACK ~l'"~3~~ °~P ql' g®.3~~0~. <br /> GL Title S/~%~'Irl~2 ~eC~2~ v ~ /'~G,S{~g- /d/e~.~ <br /> Assigned by ~l~ 1 ~>X®s7 Date ~~~~D/Ob' <br /> ~j <br /> Accounting by 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 />