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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I 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: I <br /> i <br /> (locati d~ V t Y i n) ~L ~ Q V V ~~:.r/rr' L ~/r~ ~ 6 <br /> Project manager /contact /private engineer: ~ ~ ~ '-~1,~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widths) P (width) <br /> Concrete walks: ~ Setback / urbside s <br /> I (length) (width) <br /> Sanitary sewer ~ Storm sewer ~ Z- 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 /> <br /> { APPROVED: <br /> Project Manager ~ ~ ~ Date <br /> Principal Engineer-- ~ ~ ~ Date <br /> Facilities Manager Date <br /> 1 <br /> City Engineer ~ '~~'J ° ~ ` ~ Date ~ <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. 7 ~~z ACK 3I ~ ~7® <br /> GL Title ~ ~ ~ <br /> Assigned by Date ~ <br /> Accounting by G=~~. Date ~ l-O <br /> ATTACHMENTS: 4 <br /> t~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improv ment titior <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work que <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map ~ ~ <br /> ile Request Form ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager w ~ ~~QD <br /> <br />