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. PROJECT AUTHORIZATION FORM engineeri"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 ~ JE _ <br /> Project title: ~ ~ ~ <br /> (loca ' a w,o~lc ~sFnption) A L ~ <br /> ~A 8flV1 ~ y <br /> Project manager /contact /private engineer: ~ ~ ~ ;I°`"~~° <br /> PROJECT SCOPE: ~ ~ <br /> Paving: ~ Bike lanes /paths: <br /> wrdrns <br /> ( ) width <br /> l I <br /> Concrete walks: Setback /Curbside <br /> gth)> J ~ width) f r <br /> Sanitary sewer ~ J l Storm sewer 'L~ Z ~ ~ 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 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: 3~~/~~ <br /> Project Manager Date <br /> Principal Engineer Date <br /> <br /> ' Facilities Manager Date <br /> City Engineer Date 3 --/Z ~ <br /> FOR USE BY ADMINISTZRATI/~ON ONLY <br /> Capital Project No. ~ ~3q ~D ACK ~3~ v` , X XXX X ~ 339~D <br /> GL Title /-~IG~G/en C~~e~L P~?CQSe 1~. <br /> ~ 3~iS~o/ <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: ~ <br /> ? Budget Estimate ? eveloper Agreement ? Engineer's Report On I o c' t 'tion <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service W a p~R~ ps <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 />