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~ ~ <br /> ' ~ PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / ~ (541) 682-5560 <br /> Service ID: fi ~ SI~_ ~i _ G®L~_ JC _ JE _ <br /> Project title:. - ~ 1-1-~~1. ~ ~ " f~.d <br /> (locatio and work descri t'o) . ~-G-~^ <br /> Project manager/contact /private engineer: (i'i~.s®A~+ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) ~widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~ If Storm sewer 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 /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> <br /> I <br /> <br /> i <br /> APPROVED: ~ <br /> Project Manager Date <br /> Principal Engineer Date ~f~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~d ~Z- ACK ~ ~ 3'~~ ~ XxJC ~ 3~`~D! ~ <br /> GL Title ~ I ~~N.' ~'~l ~ ~/!~h(•11° - P~~fi~.sar~ <br /> Assigned by Date ~ <br /> Accounting Date ~~~,='zt-- <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet e~9ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ICJ I"UbliC 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 /> <br />