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PROJECT AUTHORIZATION FORM Engineering <br /> Rublic Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> r (541) 682-5560 <br /> Service ID: ~ ~ 1 ~ SID ~ PB ~ GL JC JE _ <br /> Project title: ~~r~l-~ ~~T~~~.~~~~ <br /> (locatio nd work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE, <br /> ~t <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Sethark / .urbside <br /> length) pp (wi <br /> ' Sanitary sewer .Storm sewer I ~ ~ Landscaping <br /> Signal Street lights ROW required <br /> <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private X Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a <br /> ~ _ <br /> T~~4-~~ <br /> APPROVED: ~ <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manage Date / <br /> City Engineer ~ ~ ~ Date ~ f 30 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ / ~ ACK j X/`X~~`- <br /> GL Title /~ff~C~/ ~%i'%t~.~ L,.7~u.1 L°S /1 <br /> Assigned by Date !~-5 d <br /> Accounting by Date ~ 6 <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 /> <br />