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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~L PB ~ J Ey city of Eugene <br /> S ~ D 244 E. Broadway <br /> 2 Z g Eugene, OR 97401 <br /> ~sat~fi82-s5so <br /> .service ID: <br /> Project tine•'~q~A 'P~r~ ~-~-~~.~c'~D r I~[~11~-(/'~Gf1~~1~ <br /> Project manager /contact /private engineer. ~l <br /> ~ <br /> V`f <br /> if ~ s s <br /> PROJECT SCOPE: ~ <br /> Paving: ~ ~ ~ W 1 ike lanes /paths: h~J <br /> Concrete walks: Setback /Curbside <br /> (1 . (~A? <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodsd <br /> FUNDING SOURCES: I <br /> ~ P~I~i ~OO~~ G~/U # ~JS ~p ~J <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA ~ . <br /> C ENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> r~ N <br /> <br /> Ir o <br /> ~ N~ . <br /> APPROVED: / <br /> Project Manager Date 31 Z <br /> Principal Engineer Date o <br /> Fadlitjes Manager Date ~i~ <br /> Date ~ ~ <br /> 0 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 5 3 ZZ ACK °~~5 ~ ~ ~ S <br /> GL Title ~t'_a~C~. ~r ~1 ~nL'~L~~ <br /> Assign b Date ~ ~ - <br /> Akxounting 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 /> ? File Request Form - <br /> ENG 415 WHITE /Finance YELLOW / Administratlon Flle PINK /Engineering Flle GOLDENROD /Project Manager MIARCF/ 1998 <br /> <br />