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r <br /> PROJECT AUTHORIZATION FORM z Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl Street <br /> Eugene, OR 97401 <br /> (503)687-5291 <br /> Service ID: <br /> Project title: <br /> <br /> ~j ~ ~ ~ (location and work description) <br /> Project manager/ r: C~ ~1~iYVt /yt 6Gi S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> t'widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary's/ew~er~ Stormsewer _ Landscaping <br /> Signal Y ~_./J Street lights ROW required <br /> New building construction Planning; other Remodel <br /> FUNDING SOURCES: <br /> City 5~.. Assessments Private Other department _ <br /> Account code <br /> U ~ ~o S ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ® ®D~ <br /> O --f- d f~ ~ e ~ ~ ~D~ <br /> C <br /> APPROVED: <br /> Project Manager - Date <br /> Principal Engi r Date _ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, / / ~ ACK l~/~~~ ~/S~ <br /> GL Title P G2. r° ~ 1 G~,6'V1 . ~ 1't~1 <br /> Assigned by ~ Date /L~ <br /> Accounting by ~ ! Date /Q <br /> ATTACHMENTS: <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 /> 5/s3 ~r ;%i 5 WHITE /Finance YELLOV? /Administration File PINK /Engineering File GOLDENROD /Project Manager <br /> <br />