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<br /> ~-~---.---r - <br /> t <br /> - <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> I ~ (541)687-5560 <br /> Service ID: <br /> Project title: , s .Y , # ` , , ~ y , ~ y. ; <br /> k <br /> (location and work description) <br /> PnDject manager /contact /private engineer: ~ k' i ` ` " <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> j 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 /> j FUNDING SOURCES: <br /> City ` ~ ` " 'r Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ / <br /> / r <br /> - ' <br /> APPROVED: -7 <br /> Project Manager f Date ~ f-' I~" y <br /> I~ Principal Engineer Date <br /> i <br /> Facilities Manager Date _ <br /> City Engineer- ~ = ~ %f ' / Date r~ f~ 'f , rlL <br /> FOR USE BY ADMINISTRATION ONLY <br /> / <br /> Capital Project No. t° f ~ ACK ~ <br /> ~ ~ ~I v t~ ~~~~y <br /> GL Title -~~r~ r2;.~~.C ~ l , ; ! r' j ~ =t.{". G_~-^s <br /> ,t <br /> Assigned by ~ Date ~ ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> 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 /> Ll File Request Form <br /> WHI7E /Finance YELLOW /Administration Fite PINK /Engineering File GOLDENROD /Project Manager JULY 1996 <br /> <br />