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o~ <br /> ~ ~ s ' - Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID, <br /> ~ PB ~ GL JC - JE - <br /> Project title: , ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ $ r"~ <br /> PROJECT SCOPE: <br /> Pavin ~ ~ ~ Bike lanes /paths: (widrn) <br /> <br /> ~ g (widths) <br /> Setback /Curbside <br /> Concrete walks: (widtn) <br /> ~1C(lengtn) <^~~y~~~ Landscaping <br /> Sanitary sewer r i OJ! i Storm sewer <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ,~.a ~ ~ Assessments Private Other department <br /> L, r„~..~'?e~-~.-~v ~ Account code <br /> us-u9 ~'~~~-~t~h o~~ fixed) <br /> Fed /State /County /FAA <br /> ' COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> " <br /> - ~ APPROVED: <br /> Date ~ ° <br /> Project Manager <br /> j Date ~ ` ~ <br /> Principal Engineer <br /> Facilities Manager Date <br /> Date y~~~ ~ <br /> City Enginee `--~.-i <br /> FOR USE BY ADMINIS~T--,RATION ONLY ~1. <br /> Capital Project No. .n X33 <br /> GL Title o~~Q<~ ~/'~T' ~ ?f~ ~ <br /> Date P ~ <br /> Assigned by <br /> Date Z- Z ~ ~ ~ 3 <br /> Accounting by <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> 4~ <br /> ? Ciry 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 />