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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~r~, 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 work description) <br /> Project manager /contact /private engineer: CQ ~ -f ~ <br /> i <br /> I, <br /> PROJECT SCOPE: <br /> Paving: ~ (widths) Bike lanes /paths: <br /> q ~ ~ (width) <br /> Concrete walks: (.6 Setback /Curbside <br /> (length) (width) d?~~ ~,,r~~~i„~..'~ <br /> Sanitary sewer Storm sewer v Lands ping <br /> Signal Street lights _ ROW required <br /> New building construction Planning, other 1 ~t' _ 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 /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Enginee Date l ~ d <br /> Facilities Manager Date <br /> li City Engineer Date /o/i j <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK la~xx <br /> ~~7'~I~1 <br /> GL Title G~AZ ~ ~ ~ ~ <br /> Assigned by ~ Date ~ D ~ <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 Reque <br /> ? City Engineer's Initiating Order 'Public Improvement Permit Application ? Map _ <br /> File Request Form ~ ~ - <br /> ~ , <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager AN 2000 <br /> <br /> j <br /> <br />