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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ rr Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID ~ PB ~GL _ JC L JE I! <br /> Project title: ! ~ ~ ~ ~ ~ I~'%~ 1 <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ <br /> PROJECT SCOPE: <br /> <br /> ~ Pavin <br /> g• (w/dtns) Bike lanes /paths: <br /> (widrn) <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 65~, Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRA/~TION ONLY <br /> Capital Project No. ~ y ACK _ -3X ~ 9~~~ ~/7~35 ~~~/'S~~ <br /> GL Title PGC~E' ~-/t~1s °~tc3Q.G~ <br /> Assigned by Date ~/~°f'~ <br /> Accounting by Date ~ <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 /> ? File Request Form <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />