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_ _ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works . <br /> City of Eugene <br /> s 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> ~~ti~~'~'-= (541)682-5560 <br /> Service ID: SID ~PB GL '/JC "~JE _L~ <br /> Project title: <br /> (IocatiorPd~p~w~rkpes ) .,,.r- A ~ <br /> Project manager /contact /private engineer: ~ ~~-1-- ~ 4" ~ • ~-y"? <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wldtns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> Q~~/~,'~ - 6~' Qength) (width) <br /> tom' r Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~"1' !3 j Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CO MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ <br /> Project Manager ~ 4 Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer ~ G' Date t2 <br /> ~7FO1 R USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ / 1~~ `lam ACK ~~~D ~XXXX <br /> GL Title ~D~i. d12~s`iQ.J ~tc,6diy,Sl~~t <br /> Assigned by Date <br /> Accounting by Date Jam" ~ 43-- <br /> ATTACHMENTS: <br /> ? Budget Estimate Developer Agreement ? Engineer's Report On Impro rnte1'r <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work est ~ <br /> c~t~ <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map ~ <br /> <br /> 'File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager A~RY <br /> <br />