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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) 682-5560 <br /> Pro ect title: <br /> (location and ork descnpt~on) ~ p ~ ~ p) ~ q fi ~ 1 <br /> P~ \~a~lR ~ 1~C~~~~i~ V\V V~ V L 6 V <br /> ~1 L J Project manager /contact /private engineer: ~ (~~--1~ <br /> j SAD ? PROJECT SCOPE: <br /> f JG Paving: ~ Wi <br /> ( drns) Bike lanes /paths: <br /> ~ ~fividth) <br /> Concrete walks: <br /> ~~S ,J ~j~~~ (length) Setbac Curbsid <br /> ~ Sanitary sewer T5 Storm sewer Landscaping <br /> I` Signal Street lights ROW required <br /> .I <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> 1 <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> I <br /> i COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> l~_ <br /> i <br /> i <br /> <br /> I <br /> APPROVED: <br /> Project Manager _ Date ~ / ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date °'~i~ <br /> FOpR USE BY ADMINISTRATION ONLY <br /> ` Capital Project No. 313$1G ACK - ~31 q 3~J0 XKXXX 31 87~ <br /> GL Title ~0 U C~ ~-1,1,e51 t0 r'1'le,'l~' <br /> Assigned by _ 7~P_o, ~Q.Y~„w Date ~'~'I IZI~O <br /> .Accounting by Date ~ I ~ ~ ~ ~ <br /> -ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> `'~SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> [-7 City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration Fle PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />