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' PROJECT AUTHORIZATION FORM E"g'"~~'"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> y ~ Eugene, OR 97401 <br /> / ` ~ / ~ (541 682-5560 <br /> Service ID: - Al/ _ ! ~,n ~ SID_/ PB Y_ GL _ JC JE v_ aC <br /> Project title: Q " ~ ~ 'r",4~y~ ~ E <br /> (location and work descn tion) <br /> Project mana er /contact / rivate en ineer: ~ ~ <br /> J 9 p 9 <br /> PROJECT SCOPE: ~Z, ~ <br /> ' Paving: - ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> f d (length) ~ (widt <br /> Sanitary sewer fig. ~i Storm sewers ~ 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 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~ <br /> <br /> ~ ~ Ow <br /> QPrincipal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. - 7"~ ACK [~~~AxX ~ / 7"f T <br /> GL Title ~ ~ <br /> Assigned by ~ P Date ~~O <br /> ` <br /> Accounting by Date ~ ' 3Q_ 03 <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance YELt_OW /Administration File .PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />