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Engineering <br /> PRQJECT AUTHORIZATION FORM Public works <br /> City of Eugene <br /> 244 E. Broadway <br /> ti Eugene, OR 97401 <br /> , r i ~ / ° (541) 682-5560 <br /> Service ID: ~`O f ~ S D Y PB _ GL _ JC JE <br /> Project title: ~ ' ' 1 ~ <br /> (1 on and work d ripiio <br /> ~ ' fj <br /> Project manager /contact /private engineer: ~ j 4 ~-~,..,~,,r ~ ~ "1 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (pro <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 1 P CIAL PROJECT INFO. / IN ERDEPARTM NTAL WORK DESCRIPTION: <br /> tJD11" ; <br /> a D <br /> <br /> ' APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. / ~`5 fy ACK i l~XkX k `~ca .`.a'te' y ~ <br /> GL Title ~ ~0/y /Z <br /> lrzs1vz <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Fiie Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> r.' <br /> <br />