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PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> l ~ 1 Eugene, OR 97401 <br /> ~D?/ 3 (541) 682-5560 <br /> Service ID: SID ~PB" GL ~ JC ~ JE <br /> Project title: ~`~G'~~l,S .1~~5 <br /> (location and work description) <br /> { <br /> Project manager /contact /private engineer a ~ Cf~ri~~ ~ p~/p~'~,~ <br /> i <br /> PROJECT SCOPE: <br /> i <br /> j Pav'~g: (widrn~) Bike lanes /paths: <br /> Setback /Curbside <br /> <br /> C (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City~,/~ r ~ Assess s Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CO MENTS /SPECIAL PROJECT INF . /INTERDEPARTMENTAL WOR DESCRIPTION: <br /> e <br /> APPROVED: <br /> Project Manager 1~ - • Date " _ ~ 3 ' O 1 <br /> Principal Engineer Date <br /> -~i;;t <br /> Cs Manager Date <br /> City Engineer Date .~.~'"~Dl <br /> °-7FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ` ACK ~~°2 - ~ 1~X K~X ~ <br /> GL Title ~i~e~~G/~ /`t[,-e-~S.S ~Q.u .S' <br /> Assigned by Date f~ ~ ~ ~ <br /> Accounting b a Date ~ y x <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 ? 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 />