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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: ~ <br /> ~I`'~~i~~~6~ ~ ~d r 6 <br /> ~ ~t ~ <br /> ~°~L'P~l~~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~Sf"~~%~~~ <br /> PROJECT SCOPE: <br /> <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: ® 9~~~`~~`' ~ <br /> City Assessments Private Other department tS~' <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> F _ <br /> G:~ ro ~ <br /> ~ e <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer ' Date ~ ~ D 8 <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~z~,~7 ACK ~XXXX S~ 7~ <br /> GL Title J~ ~ ~ <br /> Assigned by Date ~ ~ <br /> Accounting by U Date <br /> ATTACHMENTS: <br /> r" ~ 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 />