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PROJECT AUTHORIZATION FORM Eng'n~~'"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, R 97401 <br /> . ~ 1 ~ t / / (541) 2-5560 <br /> Service ID. SID V PB _ GL _ JC _ JE _ <br /> Project title: ~(iil~c l~ t~ ~~i~°I~+Y~-~9'~~.I' , ~ 7"~ <br /> (location and work description) <br /> r <br /> Project manager/ contact /private engineer: ~Lt.7~t,/° / <br /> ~ PROJECT SCOPE: ° <br /> ~ r <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> 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 /> 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 /> <br /> i <br /> APPROVED: <br /> Project Manager Date p~~ <br /> Principal Engineer Date 2' ~ °D~ <br /> Facilities Manager Date <br /> City Engineer ~ Date~_~~. <br /> FOR USE BY ADMINIST TION ONLY <br /> Ca ital Project No. ~ ACK <br /> p 1 ~9 ~ X <br /> ~ APP <br /> GL Title ~J~ <br /> Assigned by / Date ~`a~' d~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 />