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<br /> - ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl Street <br /> Eugene, OR 97401 <br /> (503) 687-5291 <br /> Service ID: ~`z~ ~ <br /> Project title: ~ e rn , <br /> } (location and work d scription) <br /> 9 I~ <br /> Project manager /contact / pr:iv~e-eaSit~raei: ~O ~YYI j'l'1 01~ S <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 ~2A?V3p s•~C. Assessments Private Other department _ <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 100, ©o 0 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engin Date _ <br /> Facilities Mariager Date <br /> City Engineer Date <br /> FOR USE BY ADMIN~I~ST2R~ATION ONLY f~' <br /> Capital Project No. 1 ~ ACK~~~~~~ ~~j0 <br /> GL Title Ye. <br /> Assigned by ~ Date ~ ~ ~ <br /> Accounting by ~ . - ~ Date _ ~ ~ <br /> ATTACHMENTS: <br /> ? Bud"get 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 /> 5/s3 fr4'; 5 WHITE /Finance YELLOVJ /Administration File PINK /Engineering File GOLDENROD /Project Manager <br /> <br />