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~ 01 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> /r~~ ~ 244 E. Broadway <br /> C7 Q / / _ Eugene, OR 97401 <br /> Service 1 D: / N ~ J / ~ (541) 682-5560 <br /> SID._ PB GL JC _ JE <br /> Project title: ~l~1~1175 '~-~G~~~-"rI ~N ~ ~ N ~a <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ <br /> ~~c ~ N ~ <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 Street lights ROW required <br /> New building construction Planning, other ~~~'KS Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM ENTS /SPECIAL PROJE T INFO. /INTERDEPARTMENTAL WORK DESCRIPTIO . <br /> - a~s r3r~r' p. <br /> . re <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~Q~~ ACK ~~l "`~~3~`~/~'~'l " 1 ~ S~.~a. <br /> GL Title 1 LThG~S ~/~vrq <br /> Assigned by _ U~~ U/1~Oh Date _ ~/!~,~'d <br /> 6/ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <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 />