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<br /> 'I 'PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> j ~ Eugene, OR 97401 <br /> Service ID: ' I!/ ~ (541) 682-5560 <br /> c SID ~0 PB _ GL, S_ JC J° JE _ <br /> Project title: ~ r~ ~ ~~~1~ <br /> (location and wo descri ) <br /> Project manager /contact /private engineer: L~ <br /> PROJECT SCOPE: ~ <br /> - t <br /> Paving: ~ r/ ~ ~ Bike lanes /paths. <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Sanitary sewer Storm sewer Landscaping <br /> Si nal tr <br /> 9 S eet lights ROW required <br /> New building construction Planning, other S~~-~ ~ 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 /> APPROVED: <br /> Project Manager Date - 6 <br /> Principal Engineer Date <br /> Facilities Manag Date q- <br /> City Engineer ~ ~ Date ! ® ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ~ ~ ACK _ ~ Xx X xX ~ <br /> GL Title 7P2/~' <br /> Assigned by Date ( ~ ~ ~ - <br /> Accounting b Date 5~~~ <br /> ATTACHMENTS: <br /> ~ Bud et Estimate ? Develo er A reement <br /> ? 9 p g ? 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 YELLQW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> _ <br /> <br />