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PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: (541) 687-5560 <br /> ~/~oT ~.Po~~G~ <br /> Project title: ~ ®bG, ~ ~ <br /> ! (location and work description) J~Q <br /> ~/®;r <br /> P$ ~ Project manager /contact /private engineer: ~ <br /> ~ PROJECT SCOPE: ~ <br /> ~ Paving: <br /> ~t~'" rwi ns) i es /paths: <br /> Concrete walks: (widrn) <br /> rien9tn) Setback /Curbside <br /> Sanitary sewer (w'dtn) <br /> ~o~ Signal Storm sewer- Landscaping--.- 1~ <br /> Street lights ROW required <br /> New building construction Planning, other <br /> <br /> ! Remodel <br /> FUNDING SO~CES: <br /> City Assessments Private <br /> Other de artment <br /> P <br /> Fed /State /County /FAA Account code <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ fixed) <br /> . <br /> _ ~ <br /> APPROVED: <br /> Project Manager , ® ~ <br /> Principal Engineer Date ~D <br /> Facilities Manager Date <br /> a <br /> City Engineer ~ Date <br /> b Date <br /> a <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. - ~ <br /> ACK ~'X)C 9C X <br /> GL Title lY1 / J,~ <br /> f <br /> Assigned by <br /> Date ~ ~7p <br /> Accounting by l! <br /> Date ~oy a® is <br /> ATTACHMENTS: <br /> . ' <br /> - -%Budget Estimate ? Developer Agreement ! <br /> ? SDC Budget Worksheet ? Engineer's Report On Improvement Petition <br /> ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JULY Y996 <br /> _ _ ~ <br /> _ <br /> <br />