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? <br /> PROJECT AUTHORIZATION FORM ~~M Engineering <br /> hPublic Works <br /> 1 D P ~ ~ ~ L ~ ~ - ~ C ~ City of Eugene <br /> ~j 244 E. Broadway <br /> Eugene, OR 97401 ' <br /> ~ n (541) 682-5560 <br /> Service ID: .p <br /> Project title: <br /> (location and res~criptlon) <br /> ~b~ ~V ~tlh1/~d0 /M~dt./~~t"S 'fC~ ~~l StItiY~ :l-l~L-r9~N~sk./~ <br /> Project manager /contact /private engineer: ~I~f /l~ ti~iT7 Lti~- <br /> PROJECT SCOPE: <br /> Pavin A? Bike lanes /paths: <br /> g <br /> Concrete walks: /~A"?'~~ Setback /Curbside <br /> (re~+l 1 <br /> Sanitary sewer ~ Storm sewer Landscaping ~ <br /> Signal ~ Street lights ROW requitre/d <br /> New building construction a~dr Planning, other u`"s Remodel 7 <br /> FUND NG SOURCES: ~ °?~i GY~10 3 Z ~ (o ~ 799 QDS ~ ~ 2- <br /> City ~ U~ Assessments Private Other department <br /> #ZIJfD S Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> d ~ <br /> APPROVED: ~ O <br /> Project Mana Date <br /> Principal Engin r ~ Date 3 <br /> Facilities Manager Date p <br /> G~_ - Date ~ -J ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK _ , <br /> GL Title <br /> Assigned y Date ~--1' ~-1~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petftion <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 / Flnance YELLOW ! A~ninistration Flle PINK /Engineering Flle GOLDENROD /Project Manager MARCH 1998 <br /> <br />