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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~n~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ f 2y SID v PB GL ~ JC °~E <br /> Project title: ~ - ~ ~ ~ d ~ ~ re, <br /> (location an work description) <br /> Project manager /contact /private engineer: i N t ~ ~ + ~ ~ <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> <br /> j 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 ~ ~''s fixed) <br /> ® P,~, <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ day <br /> APPROVED: <br /> Project Manager Date ~ r ~ <br /> Principal Engineer Date l ~~`"r <br /> /(a G~ei;i~i~s Manager ~"t- Date r~ O~ <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATnION~/ONLY ~j n <br /> Capital Project No. ~ 3~~ 9 c~.. ACK ~O2 ~xXX~ <br /> GL Title r ~ <br /> Assigned by ~ Date ° ~ ` ~ <br /> Accounting by ~t~iYl , Date <br /> ATTACHMENTS: <br /> ~ ` ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Im ~vment'etition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wor ~Re~~st <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 ~4 ~ ~tJ00 <br /> <br />