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PROJECT AUTHORIZATION FORM <br /> Engineering <br /> Public Works <br /> j <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> _ Service ID: (541) 682-5560 <br /> Project title: t <br /> (locationar~~ description) p~ _ <br /> 1VA~~Vd 'T ~ ~ E 1'C~ <br /> t <br /> v /Project manager /contact /private engineer: ~ t~l'C~"~ ~ [ ~ <br /> <br /> . I . PROJECT SCOPE: <br /> 6/ Paving: <br /> { ~-l (~drns~ Bike lanes /paths: <br /> Concrete walks: <br /> _'(by~:#~~- ~ r~ (length) (widen) Setback /Curbside (~idrn~ <br /> Storm sewer <br /> V Landscaping <br /> Signal <br /> Street lights ROW required <br /> i <br /> ~ New building construction Planning, other <br /> Remodel <br /> i <br /> i FUNDING SOURCES: <br /> ~ Clty Assessments <br /> Private Other department <br /> Fed /State /County /FAA Account code <br /> 4 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> APPROVED: <br /> Project Manag <br /> _ _ _ Date <br /> Principal Engineer <br /> - <br /> Facilities Manager _ Date <br /> City Engineer _ Date <br /> - _ Date ® _ <br /> J <br /> FOR USE BY ADMINISTRATION ONLY ! <br /> Capital Project No. _ _3 f~ ACK 3 C ~ ~ ~ ~ ~ <br /> GL Title ~f~ f~ OC.l~~P 7~j dS®d'~r1 <br /> Assigned by <br /> Date ~ ~ 7 ~ _ <br /> Accounting by <br /> Date Z 7 <br /> ATTACHMENTS: { <br /> i <br /> ? udget Estimate i <br /> ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC Budget Worksheet Engineering Agreement <br /> ? City Engineer's Initiating Order jPublic Improvement Permit Application ? Ma ineering Service Work Request <br /> File Request Form P <br /> t <br /> ENG 415 <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />