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' Engineering <br /> PR®JECT AUTHORIZATION FORM <br /> ' Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~j / ` / (541) 682-5560 <br /> SID_ ~E3 _ GL _ JC JE _ <br /> Project title: 7 ~~7,i~.VV ~ ~ <br /> (location and work descnpnon) <br /> Project manager /contact /private engineer: 2i~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> / (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> s c?>-'7 <br /> New building construction Planning, other i"? 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 /> APPROVED: <br /> E ~~~~Project Manager Date <br /> i"""Principal Engineer Date <br /> Facilities Manager~r Date <br /> City Engineer 1"~~t'C.JE.~' Date / ~ <br /> f - <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK 6 ~1- <br /> GL Title <br /> Assigned by ~ Date ~ <br /> Accounting by Date f/ <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 .Iblic 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 />