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PROJECT AUTHORIZATION FORM ~ ~~/'1 ~ i=_ngineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ SID ~~PB ~ GL JC ~ JE _ X541) 682-5560 <br /> Project title: ~ 1 ~ m <br /> (locatio work d scription) ~ _ ~ <br /> Project manager /contact /private engineer: _ 1~ l~L-- <br /> `--'1 ,y <br /> PROJECT SCOPE: ~ <br /> Paving: 2l~' Bike lanes /paths: <br /> (widrnsl ~ (widrn) <br /> Concrete walks: ~ i,/~ S/ etback / •urbside <br /> Sanitary sewer ~ Storm sewer ~ 6-'II'' "~l° Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ ®j Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM NTS / SPECIA, PROJECT ANFI\O INTERf~EPARTMENTAL ORK DES~CRIPTIO l <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manag r Date- <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~7 ~D~(o ACK fo3 J 8330 ~~(,X, 374~01~ <br /> itle PrFLtI~ST /Q.II~C~ ~ <br /> red <br /> '~~~~sigr~ed by Date ~ Z~ 0~ <br /> ~ ~ B <br /> Ao nting b Y Date <br /> <br /> _ ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <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 JANUARY 2000 <br /> <br />