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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: ~ O~~ SID ~PB GL JC _ JE <br /> Project title: ~ t? <br /> (lo ' n a d worlc~descpption) ~ V V <br /> Project manager / contact/private engineer: ~~p (7Li~ ~ J 1~-lJ <br /> PROJECT SCOPE: ~ ~g~, / <br /> Paving: ~ ` t t ~ Bike lanes /paths: <br /> (widlhs) / (width) <br /> Concrete walks: Setback Curbsid LG-~. <br /> ~/~(length) (width) f <br /> Sanitary sewer ~ ~y Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other '1~ ? 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 /> ~ rJ~ GIB <br /> ~ <br /> <br /> i <br /> APPROVED: <br /> Project Manager ~ ~ Date ~ <br /> Principal Engineer Date ` ~ ~ ~ <br /> Facilities Mana r Date <br /> City Engineer ~ ~ Date- <br /> 2 FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3~-~to~ ~ ACK ~ Q ~ 3 ~ ~ KX~X 3~ ~fo3 b <br /> GL Title C,r~eSe?.+ ~ PU I) <br /> Assigned by Date 1~ Z~ O <br /> Accounting by Date D <br /> ~ n <br /> ATTACHMENTS: ~ r <br /> a, ? Budget Estimate ?J~eveloper Agreement ? Engineer's Report On Improv nt Fe~tion <br /> ? SDC Budget Worksheet "Engineering Agreement ? Engineering Service Work R ce <br /> ? Ity Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form a <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUA <br /> <br />