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PROJECT AUTHORIZATION FORM ~ Engineering <br /> y. Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ® ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID_ PB _ GL _ JC JE <br /> Project title: ~ <br /> (location and oAc descriptio ) <br /> Project manager contact /private engineer: ~r9 ~ Ci ~G{ <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 /> ~ a.. <br /> New building construction Planning, other!"~~°/+~~"~?~s~, Remodel <br /> FUNDIN-~RCES: <br /> ~i City ~ ~ ~ ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) - <br /> ~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTgION: <br /> APPROVED: 'a <br /> Project Manager Date ~o~~'~Es <br /> n clpal Engineer Date <br /> Date <br /> . <br /> r ~ ~ Date ~ - ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ +-1 ~ ACK ~~35 ~'xxX X ~ ~S ~q <br /> GL Title ~l°~-~~ ~ e' r I ~Vl.~ ~~C3~' ~~iY <br /> w <br /> Assigned b Date ~ 5 <br /> Accounting by Date <br /> <br /> i <br /> ATTACHMENTS: <br /> f~' ? 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 /> 'r , _ <br /> ( U <br /> <br />