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PROJECT AUTHORIZATION FORM Engi"eering <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: <br /> (location and work descnpt~on) <br /> Project manager /contact /private engineer: L~~/~i ,~d' 9~ <br /> PROJECT SCOPE: <br /> Paving: ~ ~ ~f ~ / Bike lanes /paths: <br /> (wrdths) (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 Remo~d/el <br /> FUNDING SOURCES: ~~~r~`T <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 r~~ ~ , G~ l~`i - tom'' <br /> ~ <br /> o , <br /> ~ <br /> APPROVED: <br /> Project Manager ~ ~ ~ Date ~ <br /> Principal Engineer Date d <br /> Facilities Manager Date <br /> City Engineer Date 3 y ""oy <br /> nnFOR USE BY ADMINISTRATION ONLY /s <br /> Capital Project No. %OS~~~ ACK ~ ~ ~ ~.3~°"2 ~C~CX)C~C 90~~~'`f <br /> GL Title <br /> Assigned by Date mil! fl L, <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> ~'l . Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Bud et Worksheet <br /> 9 ? Engineering Agreement ? Engineering Service Work Request <br /> ? Ctty Engtneer's Initiatin Order ? Public Im rovement Permit <br /> 9 A licati n <br /> 0 <br /> P pp Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> J <br /> <br />