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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> - / (541 682-5560 <br /> t V <br /> ~ ~ <br /> Service ID: SID_ PB L JC ~JE <br /> Project title: ~ ii'L ~ Ct f I31~~1. 1'(J a <br /> (location and wodr description) <br /> s <br /> Project manager /contact /private engineer: mac(.>rPi"~ /e~/i'1 Z ~ /~'1~ _ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ (length) (width) ~ t~ <br /> j Sanitary sewer t~ Storm sewer Landscaping <br /> Signal ® Street lights /~A~ ROW required <br /> New building construction /~O ~ Planning, other ~ Remodel <br /> FUNDING S URCES: <br /> Gity 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 Engineer Date Z-L~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> <br /> ~i FOR USE BY ADMINISTRATION ONLY <br /> _ <br /> Capital Project No. ~ ~ ~ ~ ACK ~ X X ~ X 9-~~ ~'S~ <br /> GL Title ~L~~3 i~~P ~~~Y' <br /> Assigned by ~ Date v~`~ iJ <br /> Accounting by i Date ~a~ ~1d~3 <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 />