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~ w <br /> ~ PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> G~~-~~'d` 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID_ PB ~ G JC ~JE <br /> Project title: ~ ~ ~ ~ <br /> ~ ~ i /r, ~ <br /> (locati g ~(WV ~ ePf gn ~ a fl n~~ ~ ~ ~ V~~~~ ~ ~~~~G~ (.r~' H <br /> Project manager /con-tact /private engineer: ~t..t.t~~l ~ 'C'~ t~~w~~~ ~,1 <br /> PROJECT SCOPE: ~ / ~ <br /> Paving: ° ~ ~ Bike lanes /paths: <br /> (Wldrns~ (W;drn~ <br /> Concrete walk Sathar' /Curbside <br /> ~ ~J (length) i+' 3i(w'dt s/ PB -~y ~ d/ <br /> r ~ Storm sewer ~ G 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 /> CO iMiMENTS / S/~P~ <br /> iECIAL PROJECT INFO. / INT~~EjRDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> APPROVED: <br /> 7 <br /> Project Manager ~ Date <br /> Principal Engine r Date ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ ~ ~ ACK ~ ,3~ ~ 3 3~ ~ ~X ~ ~ 7~~ <br /> GL Title /-~~I~+l i /`/l~la~ ~ <br /> Assigned by P _ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ti_ ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order blic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />