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f <br /> PROJECT AUTHORIZATION FORM l~ - Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ I ~~yY1 (541) 682-5560 <br /> Service ID: ~ SID_ PB _ GL V JC ~ JE 1"` <br /> Project title: ~ ~ ~ In ~e- ' 3 ~ 9 a~~ <br /> it <br /> (location and work description) <br /> Project manager /contact /private engineer: 1 ~ ~ ~ ? ~ .5 <br /> PROJECT SCOPE:' ~ <br /> mot.. <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widrns) (widrn) <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 ~ ~ bb Assessments Private Other department <br /> TAX Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~°i° - l)T- S' t~ <br /> ~'NA~ a `c' T, 1~ <br /> i <br /> I <br /> APPROVED: <br /> Project Manager I Date ~ ~ <br /> Principal Engineer _ Date Ili ~ ~ fn r~ <br /> Facilities Manager Date <br /> City Engineer Date ~c~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~~3 ~XX~X ~`~~~J~Y <br /> GL Title <br /> r <br /> Assigned b Date <br /> Accounting by Date <br /> I <br /> <br /> 1 <br /> ATTACHMENTS: <br /> i' ? 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 /> s~~.` <br /> <br />