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. V <br /> `PROJECT AUTHORIZATION FORM engineering <br /> Public Works <br /> City of Eugene <br /> <br /> ~ 244 E. Broadway <br /> ` Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID PB GL ~JC JE <br /> Project title: ~1~'~!J~ Y I~J~ 01~ <br /> (location o d c <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes / aths: <br /> P <br /> widths <br /> ( ) <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> Z ~ (length) (width) <br /> Sanitary sewer c~ 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 /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> Y <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> 2~-1FOR USE BY ADMINIST2RATQION ONLY ~7 <br /> Capital Project No. d / ~ ACK ~J I / ~3 ~ ~~XX x ~ / <br /> ~~u-~J t <br /> GL Title / <br /> Assigned by Date ~ j <br /> Accounti by ' Date <br /> ATTACHMENTS: <br /> - ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ ` ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order 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 />