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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service tD: (541) 682-5560 <br /> SID_ PB GL _ JC JE - <br /> Project title: ~ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: <br /> (widtns) Bike lanes /paths: <br /> Concrete walks: (widrn) <br /> oe~n) Setback /Curbside <br /> Sanitary sewer w.drn/ <br /> Storm sewer _ Landscaping <br /> Signal Street lights <br /> ROW required <br /> New building construction Planning, other <br /> Remodel <br /> FUNDING SO RC : J ~~33~ f ~ a~ ~ Ss~~-~ <br /> Clty ~ ~ Assessments Private Other d <br /> epartment <br /> Fed /State / Co~nty /FAA Account code <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ fixed) <br /> a <br /> f <br /> ~ Hi <br /> ~ <br /> ~b~ - p <br /> lam. ~ ~ /'~J (F \ <br /> APPROVED: <br /> Project Manager f ' ~ <br /> r ~ . ~ , , `~"~~,~.;~r' Date ~ ~ ~ <br /> Principal Engineer ~ ~ _ , <br /> Date ~ ~ " <br /> Facilities Manager <br /> Date <br /> City Engineer ~ <br /> Date <br /> FOR USE BY ADMINISTRATION ONLY ~ <br /> n <br /> Capital Pro' ct No. q~ ~J~ 1~(o ACK q~~~ [ t~D~i~i~C ~f ~ 1P <br /> l"t~+ p <br /> GL Title ~"Co.~°-t- ' CA.~~- ~~"~,'1CJ~ ~ <br /> Assigned y ~ ? / ~ <br /> , (dy . ~ <br /> Date <br /> Accounting by <br /> Date <br /> i <br /> ATTACHMENTS: <br /> 1. <br /> Budget Estimate ? Developer Agreement <br /> <br /> ~ ? SDC Budget Worksheet ? Engineer's Report On Improvement Petition <br /> ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Applicationap <br /> ? File Request Form <br /> I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />