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PROJECT AUTHORIZATION FORM E"g'"~ri"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ® - SID_ PB _ GL JC s,~ JE <br /> Project title: ~ie~i~l[~/~y i~P~/1`~~c/C <br /> (location and worts 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 ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOU ES: ~~oZ ~ ' <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> GOM NTS /SPECIAL PROJECT INFO. /INTER EPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date / ~ 3 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK 933° xxX~(~ 9i~"~~fy~ <br /> GL Title <br /> Assigned by Date ~ 23 D <br /> Accounting by Date " <br /> ATTACHMENTS: <br /> <br /> i. <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 />