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. ~ <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ r ~ , SID c_A~PB _ G~L^_ JC ~ JE - <br /> Project title: ~pfi`-`-~ ~ i~ ~ ~ ~ ~-~i~ ~ ~ ,1~--- <br /> (locahon an work description) <br /> ' acv ~ ~ ~ W ~~~-'`Ti~~`~liC ~ (~C~ ~ <br /> Project manager /contact /private engineer: ~ ~~"r~-~ r~ ~ ~ C~t-~ C--~ v~ <br /> PROJECT SCOPE: j <br /> j Paving: Bike lanes /paths: <br /> (widtns) (widrn) <br /> Concrete walks: Setback Curbsid <br /> (length) (width) Fr <br /> Sanitary sewer ~o Storm sewer _T 2~ l~S Landscaping <br /> Signal Street lights ' ROW required <br /> New building construction Planning, other Remodel <br /> j FUNDING SOURCES: v <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 /> l <br /> <br /> I <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Enginee J Date ~ <br /> Facilities Manager Date <br /> City Engineer L ,~Q G'' Date-li d~.. <br /> FOR USE. BY ADMINISTRATION ONLY <br /> Capital Project No. ® ACK , ~ 3~~C. <br /> GL Title ~ ~ <br /> Assigned by Date 3/ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget WorksheetEngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public 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 />