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PROJECT AUTHORIZATION FORM engineering <br /> Public Works <br /> ° City of Eugene <br /> 244 E. Broadway <br /> <br /> i ~ - Eugene, OR 97401 <br /> 541 682-5560 <br /> ~ ) <br /> ~ ~ ~ ~ <br /> Service ID: ~ SID PB _ GL JC _ JE <br /> Project title: ~~>JGL/ ~'7isr1~ i ~1~~.s~t <br /> (location and rk description) - ~ J .-e..J <br /> 1 ~ - ~ <br /> Project mana /contact /private engineer: - <br /> PROJECT SCOPE: t <br /> Paving: Bike lanes {,,.pa#~is! <br /> i (widrns (widrn) <br /> Concrete walks: ~;~~'~?E~l` l Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer x Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~Ya=~ <br /> City Assessments Private Other department ~~"?~~~a <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. / INTERDEPARTMENT L WOR DESCRI TION: <br /> ~ ~ <br /> - - ~ <br /> APPROVED: ~ <br /> Project Manager Date 1~`~~-,~ " <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer ~ Date ~ Zf ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. % ACK ~ ~ ~ ~ ~J~J ~ ~X X' XX ~ 3S ~ t <br /> GL Title lea !~Y"i~"~ / ~ e d.t~~ ~y 1 <br /> Assigned by " Date ~ ~ <br /> I p <br /> Accounting by Date <br /> ATTACHMENTS: ~ <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Pe ltio <br /> C Budget Worksheet ? Engineering Agreement ? Engineering Service Wok Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map _ <br /> File Request Form <br /> g . <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager %ANIY 0 <br /> <br />