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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Cify of Eugene <br /> /"1 (.--t:.~~S 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> ~ / / (541) 682-5560 <br /> Service ID: ~ ~ ~ SID ~ PB GL JC = JE ~ <br /> _ t~ ~r <br /> Project title: ~ ~ R{ <br /> (locatio n work cription) <br /> ~~e Y <br /> Project manager /contact /private engineer: ~ d,-L~.,~'~~ ~ ~ <br /> PROJECTSCOP~~ ~ ~L~ ~~i <br /> Paving: ~ ~ e`~ir Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~I (length) (width B'~ ~j yr® <br /> Sanitary sewer c~ Storm sewer 1- ~ ~ ~ d 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 P <br /> / S ECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> APPROVED: ~ p~ <br /> Project Manager Date ~-1 y ` <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer-,,, t Date _ <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. G ACK <br /> GL Title /t-- L~ ~~~5~ <br /> Assigned by Date ~ ~ / ~ 1 <br /> ~ / <br /> Accounting by / CL Date / 7 ~ <br /> ATTACHMENTS: <br /> l~- ? 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 ? Public 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 />