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PROJECT AUTHORIZATION FORM Engineering <br /> i <br /> Public Works <br /> City of Eugene <br /> G~~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~q~ (541) 682-5560 <br /> Service ID: SID PB ~ GL ~JC ~ JE <br /> Project title: C-~i ~J~ n iro " 1 rc~ ~~i~ f <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <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 S9URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECI L PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIP ION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer ~~~-u-e~ ~ ~ Date ~ ~2f.' 1 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No.ACK ..~l02 ~X~X~ `~d.~a`G)Z <br /> GL Title / / h~ t"" ~ ~l~h`'1/f'1 <br /> Assigned by Date <br /> Accounting by ~ ~ Date ~ <br /> r ATTACHMENTS: <br /> <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 />