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Roc~i~re~ <br /> PROJECT AUTHORIZATION FORM ~ ~ Pubi <br /> ~ wo <br /> ~ City of Eugene <br /> ~ 244 E. Broadway <br /> ~~~.CC.~- Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID ?P ~GL JC ~ E _ <br /> Project title: <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~~~-~~P <br /> <br /> 1 <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 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 /> I <br /> ~ _ <br /> I ~ 1 <br /> i <br /> I <br /> APPROVED: <br /> Project Manager Date ~ ' " <br /> Principal Engineer Date 3 - ~ 2~ <br /> Facilities Manager Date <br /> City Engineer ~ Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> 1 Capital Project No. ACK jaX~~~ ~O~'~®~~ <br /> GL Title ~ <br /> Assigned by Date ~ sue/ ~ <br /> Accounting by Date ~ ~ ~ <br /> ATTACHMENTS: <br /> ~,.,Sudget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ DC 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 /> 1'` <br /> ~it~~ <br /> <br />