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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> L~ 244 E. Broadway <br /> / Eugene, OR 97401 _ <br /> . ~ / / ` ~ (541) 682-5560 <br /> Service IQ:_ SID_ P~B~_ GL JC - JE _ <br /> Project title: / ~ ~L~#~..d l <br /> (locatio and work description ~ §,/9 ~ ~ ~ p ~i l~ <br /> Project manager /contact /private engineer: , ~..-L. ~ ~ <br /> it <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <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 Assessments Private _ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~l <br /> f <br /> I ' <br /> <br /> 'I <br /> APPROVED: ~ a~ ~ s <br /> j Project Manager ~ Date j <br /> j Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~0 la z` <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. °37~~5~` ACK ~~j (o~~X <br /> GL Title .~2~dm ~ C~t"~'S~ti <br /> Assigned by e Date ~ ~ <br /> ~.~~-G <br /> Accounting by Date ~ ~ ~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Bud et Worksheet a <br /> <br /> ~ 9 ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> File Request Form <br /> f ENG 415 WHITE /Finance YELLOW /Administration File .PINK! Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />