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PROJECT AUTHORIZATION FORM engi"eating <br /> Public Works <br /> City of Eugene <br /> ~,V~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~71D~• (541) 682-5560 <br /> Service ID: 7 SID ~ PB X GL ~ JC ~ JE _ <br /> Project title ~ ~ ~ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (w ) <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: `P rl~Uj Z(~(/ <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 /> I <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~Z3 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. l°~" ACK ~ <br /> GLTitle ~ / <br /> Assigned by Date <br /> Accounting by GvC~-- Date `1 //v l <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 <br /> ? File Request Form <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />