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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / ~ / , ~ ~ (541) 682-5560 <br /> Service It: SI~_ ~E3 ~ GL _ JC _ JE <br /> Project title: ~ ~ ~D L~ ~ <br /> (location and work d cription) <br /> l <br /> <br /> ~ I I Project manager /contact /private engineer: ~`t/Q - ~ ~ ~ <br /> <br /> . , <br /> ~ PROJECT SCOPE: <br /> I <br /> j Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> /~lengrn) (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 r~ Other department <br /> ~ Account code <br /> ~ Fed (State /County /FAA fixed) <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> ,APPROVED: t <br /> i <br /> j :Project Manager ~ Date <br /> Principal Engineer Date 3' ~ 17 ~ <br /> ' I Facilities Manager ~ Date <br /> City Engineer ~ ~ ~ " ~ G Date =j ~ L' <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> I <br /> Capital Project No. / ` / ACK C~~~ Q?~5l ~~xJrx. 3 r? y~o r~ <br /> x <br /> i ' GL Title r <br /> r ,j°r <br /> Assigned b " t Date <br /> . <br /> Accounting by Date <br /> ATTACHMENTS: <br /> © Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Q~ ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ICJ 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 />