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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ' Eugene, OR 97401 <br /> _ , / ` / / t ~ (5411 fj~2-5560 <br /> Service ID: ~ SID PB ~ GL " JC JE ~-~.1 1-r~ <br /> Project title: e ~ ~G e~°T ~ t;:~:"t'F-i ~a3 6~°i <br /> (location an work description) <br /> Project manager /contact /private engineer: m`i'"E~1 ~ 1 ~ aa~ <br /> I <br /> PROJECT SCOPE: , <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> j Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUN ING SOURCES: <br /> City ~ Assessments Private Other department <br /> ~ ~ t ~!'_r' <br /> ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ( <br /> - ~~o - <br /> _ ~ <br /> s~. ~ <br /> APPROVED: <br /> Project Manager ~ Date I <br /> Principal Engineer Date <br /> <br /> 1 ~~J <br /> i IfTf°es Manager Date <br /> City Engineer ~ Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9~saia ACK S/~ x.33 ~ ~xu1CX ~ ~s <br /> GL Title ~ /L~~~~ ~ <br /> Assigned by Date ~ ` <br /> Accounting by Date Z ~ ~-~3 <br /> ATTACHMENTS: <br /> i%~ ? 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 /> I <br /> <br />