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_ ~ <br /> . PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> - City of Eugene <br /> f ~ r 244 E. Broadway <br /> Eugene, OR 97401 <br /> .i (541) 682-5560 <br /> Service ID: ~t ~ ~~1.~ / SIDS. PB GL X JC ? JE _ <br /> Project title: G'a,7e ~ /''j/L1~i?>'/7f ~QS~~ f~G~ ~':"r ~(~i L.t ~ o/ <br /> (location and wo description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer X Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SO~CES: ~:~~2 ~/33~ 9~50/S ~(Jlc1 ~~ah <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> ji <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ""t S~ a 5 ACK a ~ x' X X X X. C~ i ~ L <br /> GL Title ~ ~ I t ~ ~ ~ G <br /> Assigned by Date ~~/~O/ <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 /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br /> ti <br /> <br />