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PROJECT AUTHORIZATION FORM Engi"tiering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: -1 ~ ~ ~ J (541) 682-5560 <br /> SID " PB ~GL ~JC ~ JE <br /> Project title: ~ <br /> (location an work description) <br /> I <br /> Project manager /contact /private engineer: ~ ~ 1 f~ S <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 ~i m ~~--Planning, other Remodel <br /> FUNDING SO RCES: <br /> Ci ~r c~1 Assessments Private Other department <br /> ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> •-r ~ , , - <br /> ~ APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~~7 C-~'~,--- <br /> 4 Facilities Manager Date <br /> E;ity--Engir~eer~~a~Yiyr,~~t~t Date "1 ~ ~-rD "2__ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK g~~ y ~`''~X-X X <br /> <br /> ' GL Title ~IL~ <br /> Assigned by Date " <br /> Accounting by ~ ~ Date I~ <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 />