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PROJECT Al1THORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~,,~(',,~.~9.~i„~.~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID:_ 3 951 SID x PB ~ GL'~ JC ~JE 3y?~~o <br /> Project title: - _ <br /> (locatio and work descri ion) <br /> Project manager /contact /private engineer: S / 1 G{ ~ ~ j C... ~ <br /> PROJECT SCOPE: <br /> Paving: ~ (wldtns) Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback / Curbside <br /> (length) h <br /> Sanitary sewer ;d(.~~ Storm sewer Landscaping <br /> Signal ~ Street lights ROW required C~ <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: <br /> <br /> ~ Project Manage ~ ~ Date- <br /> <br /> f Principal Engineer Date ~ " ~d `~Q7-~' <br /> Facilities Manager Date <br /> City Engineer Date `r,~~°~"Z. <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ` ~ <br /> GL Title IC i t'I itl E;~L ~(~,r ~ IUQ~ Icsnt~~IDD ~ FG~CC. <br /> Assigned by ~ 1 L~ ~ Date ~ <br /> Accounting by v~ Date ~ o?~ t~ <br /> TTACHMENTS: <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 Perrrlit Application ? Map <br /> ? File Request Form <br /> ly./ EryN,G 415 WHITE ; Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> € \~,_,q~V ~ V <br /> a9~ <br /> <br />