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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 ID. ~ t ~ SID_ PB _ GL _ JC _ JE _ <br /> Project title: ~ J <br /> (Io d w escd ion) <br /> Project manager /contact /private engineer: Vv ~ ~ ~ ~ <br /> PROJECT SCOPE: <br /> 1 <br /> Paving: 2~ Bike lanes /paths: <br /> (widths) ® (width) <br /> Concrete walks: S( etba_cl~/Curbside <br /> (length) (width) yj ` <br /> Sanitary sewer ~ Storm sewer ~ ~ Landscaping <br /> Signal Street lights ~q ROW required <br /> New building construction Planning, other ~ _ t 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 /> ~ (.,1 <br /> APPROVED: ~ f~ <br /> Project Manager Date , <br /> Principal Engine Date <br /> Facilities Mana er Date <br /> City Engineer ~ ~ `e-- Date lr° <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~~~7 ACK 9~~~ ~'~X~~ ~~7 <br /> GL Title j`~~ " 1 ~ <br /> Assigned by Date ~ ~ <br /> r <br /> Accounting Date - <br /> ATTACHMENTS: <br /> <br /> it ~ ? 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 ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />