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' ~ ~ ~ ~i~~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> C- Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID_ PB GL JC JE ~ ~'r p~ <br /> Project title: ~.°>r ~~,~s~ j 2 ~~??~'fi ~ A.~ ° i~ <br /> (location d wodc description) $ <br /> Project manager/ contact /private engineer: ~C~.~ F-~-1 C,C~ <br /> PROJECT SCOPE: <br /> Paving: ~ S ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> j (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> ~ Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> i <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County FAA ~ ~ Ar•1 ~ a'~. g ~ ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r,. <br /> i <br /> APPROVED: <br /> j Project Manager DateTf ®3 <br /> Principal Engineer Date <br /> <br /> ~ ' ' ies Manager ~ Date ~ <br /> City Engineer ' ~ Date ~ 'z f~ <br /> ~ FOrR USE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. ~ ~ J ~ r ~ ACK ~r ~ J~ ~ ~~~X <br /> GL Title ~~T' ~Z P~ ~T ~ ~~y'fy) ~ <br /> 3 f ~~a~ <br /> Assigned b Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> / ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> f <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 />