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_ <br /> <br /> ' <br /> ~ Engineering <br /> 'PROJECT AUTHORIZATION FORM <br /> ~ Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID ~PB /_1 GL _ JC JE <br /> Project title: ~ Qa2~T ~ 1 ~ ~.1~'1 1 N @~ ~A~ ~ IC. ~~1-~,4~. ~j <br /> (location and work description) ' r <br /> Project manager /contact /private engineer: ~'E~i F+l GG i fy` S <br /> PROJECT SCOPE: c~? <br /> Paving: ~ ~ ~ ~r r-~- . C9 ~ ~f Bike lanes /paths: (widrn) <br /> Concrete walks: Setback /Curbside <br /> (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 a~2.. ~ _ Asses ments Private Other department <br /> ~ F~ ~ ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager v ~ Date gam- - <br /> Princjpal Engineer f tiy'~-~~ Date ~9 ~ b <br /> F~aetfitief~s <br /> Manager ~ Date ` L o 2. <br /> City Engineer Date Z~~Z-- <br /> FOR Us~SE BY ADMINISTRATION ONLY <br /> Capital Project No. °t ACK <br /> GL Title m <br /> Assigned by Date ~ ~ - <br /> ~ <br /> Accounting by Date _ <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 />