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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> V Service ID: ~ ~ SID ? PB '~GL ~ JC ~JE ~ (541) 682-5560 <br /> E'1 L- ? Project title: ~ .f ~ ~(~i~,~$~ d ~~C'~,~'~~- % <br /> (location and work description) <br /> 5lf~ ~ <br /> J~ ? Project manager /contact /private engineer: 1.~ ~ ~ttr'd <br /> ~ PROJECT SCOPE: <br /> C. 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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Iii ~ ~ r d day <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date 3~~ "`~a _ <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> FORM USE BY ADMINISTR~AyTION ONLY <br /> Capital Project No. ~~5~~~ ACK ~ 7 ~30~ ~r~/~~ ~ ~Q~1 "r'"rt3 <br /> GL Title f / ~ AVM aS~aVrn~ ~Ce~~le„~ <br /> Assigned by Date / ~ ~ <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 1 Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />