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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~CCe~~ S City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ / 7 8 ? ? ~ / ~ ~ (541) 682-5560 <br /> SID_ PB _ GL JC _ JE <br /> Project title: ICI rE ~ I n ~ " a N s' T fZ- 4 C /1~/ ~i~ L / ~i1~/) ~ 2. <br /> (location and work description) <br /> Project manager /contact /private engineer: ~it>~ Y ~ ~ u~ L. <br /> PROJECT SCOPE: ~ / <br /> Paving: C~NG R FT/' p/.~1, r <br /> ~C X / Q O 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 SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County FAA ~0 ~ f 0 fj~~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i~ <br /> <br /> i <br /> APPROVED: 3~~ <br /> Project Manager Date <br /> Principal Engineerw Date <br /> Facilities Mana r Date <br /> City Engineer Date `t' ~ <br /> FOR USE BY ADMINISTRATI/~ON ONLY <br /> Capital Project No. ~ 7 ACK S/a _ 3' ~ ^ XaCKXX - 95"3 ~2- <br /> GL Title /~'p ~ /--~~~t iJ~ .'L. <br /> Assigned by Date ~3 ~ <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 o <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK 1 Engineering File GOLDENROD /Project Manager JA`JUARY LOCO <br /> <br />