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~ ~ <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> V/ ~ (541) 682-5560 <br /> Service ID: <br /> SID PB L <br /> G JC E <br /> J <br /> -y <br /> Project title: 1- ~ ~ Z- ~ [ ~ `V <br /> (location and work description <br /> Project manager /contact! private engineer: f l~.i ~G-4-- ~ <br /> PROJECT SCOPE: f <br /> i <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: y Setback /Curbside <br /> 1 / (length) width) <br /> Sanitary sewer ~ Storm sewerC:~'~,~ ~AIL~~ 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 /> I <br /> i <br /> APPROVED: <br /> i <br /> Project Manager Date <br /> <br /> i Principal Engineer ~ Date ~ ~ ' <br /> Facilities Manager ~ - - Date <br /> City Engineer ~~~~x Date <br /> FOR USE BY ADMINISTRATION ONLY 8 <br /> Capital Project No. ~ ~~Z ( ACK X• <br /> GL Title ~ ~ t ! d9V8 51~~1 <br /> Assigned by Date ~ <br /> Accounting b a Date 7~~~~1 <br /> _ <br /> ATTACHMENTS: <br /> ( ? Budget Estimate ? Developer Agreement ? En Ineer's Re ort On Im <br /> g• p p a~ment Peti3n <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Wor eq~t <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map ~ <br /> :File Request Form ~ <br /> a <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~ JAIVU~1 r~Y . <br /> <br />