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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~e`~ ~~i1 L~~ City of Eugene <br /> 244 E. Broadway <br /> <br /> ' Eugene, OR 97401 <br /> ` - ~ t~e V ~ ~ I (541) 682-5560 <br /> Service ID: SID_ PB _ GL _ JC JE _ <br /> Project title: l <br /> (location a work cription) j`, <br /> Project manager /contact /private engineer: ~ ~ ~ 8,,1 f <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) ~ ~(widrn <br /> Concrete walks: Setback Curbsi <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ~ l~c~~ .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 /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ ~ ~ / <br /> ~ ~ <br /> ® c.~r <br /> APPROVED: <br /> Project Manager ~ ~ to 1 <br /> Principal Engineer ~ ate <br /> Facilities Manager Date <br /> City Engineer ~ ~ Date ~C ~ <br /> FOR USE BY ADMINISTRATION ONLY ,%~6 <br /> Capital Project No. ~ ~ ~ ~ ACK _ ~ ~ f x Xx)L~C ~ ~.~7 <br /> GL Title ~ i~ <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 gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 />