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PROJECT AUTHORIZATION FORM Enginesring <br /> Public Works <br /> ~ r C,l L S ~ S ~ City of Eugene <br /> ~j~ D ~ 244 E. Broadway <br /> 2 ~ ~ Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: <br /> Project title: Zip- <br /> (~aceaon end work rlp(!on) © ~ ^ <br /> Project manager /contact /private engineer: T`~--'/~.. 5~i~ ~S G~ ~ "l' t <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (aidtfu) (wrdm) <br /> Concrete walks: Setback /Curbside <br /> ~ (1 hJ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights !"r` ROW required <br /> New building construction Planning, other ~ Remodel <br /> FUNDI G SOURCES: <br /> City ~ Assessments Private Other department <br /> '~~5~, t~,~,~ ~ ~ `j ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION:~^A <br /> ~D ~O v <br /> f _ _ <br /> D ~ ~ ~ <br /> ~~r ~~v r- ,~-~2~r~-- ~r-~nP~~~s'~af~ era C~wi~~ ~ , <br /> ~:-~~G.,~~l~~ <br /> (~O~~i~ ~inr~ ~i lu.~'1 <br /> P~1sr~ S'j1P~T ; ' <br /> APPROVED: r ,i/~, <br /> Project Manager Date <br /> .Principal Engineer Date <br /> u <br /> Man er ' Date <br /> gl~ Date <br /> FOR USE BY ADMINISTRATION ONLY , <br /> q 55C~G Z <br /> Capital Project No. ACK 32 ~ ~ t~ ~k ~ `'t <br /> i <br /> 1 for pifi~ ~v~er 1 ',r, <br /> GL Title ' <br /> 8` 5 6 <br /> Assign by ate <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ngineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application I~CC Map <br /> ? File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />