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' 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: p ~ ~ ~ SID_ PB _ GL_" JC JE <br /> Project title: ~ ~ ~ ~ w' l <br /> (location and work d cri lion) , ^ , <br /> Project manager /contact /private engineer: t J~~6 ~ ~L V~l~`TSO ~ ~ ~ l~ <br /> PROJECT SCOPE: ' ~ <br /> Paving: ~ ~ ~ s Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> ~ ~ (length) (width) l~ <br /> +~*9`'6e~r Storm sewer Z~~~,~j~ Landscaping <br /> Signal Street lights / , ROW required <br /> New building construction Planning, other ~ 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 /> j Project Manage ~ ~ r ~ Date -7 <br /> Principal Engineer Date e ~ <br /> Facilities Manager Date <br /> City Engineer ~r° Date ~ <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> - ~ <br /> <br /> i Capital Project No. ACK _ ~ ,~f <br /> GL Title ~ ~ ~ ~ <br /> Assigned by Date ~ <br /> Accounting by Date <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 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 />