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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 /> I <br /> ~ Project title: / + ~ C`~~~ ~ ~ ~ <br /> S~ Project manager /contact /private engineer: ~C ~ <br /> ~c <br /> ~ PROJECT SCOPE: ~ <br /> f Paving: (w;drns) Bike lanes /paths: f <br /> (w;drn) <br /> jCpo~npc ete wa s: t (/e Setback /Curbside <br /> Y V VtS~Pi~~ _ ~9) ~ ry'1 d'd (width) <br /> Bd Storm sewer Landscapin <br /> 9 <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> <br /> j City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date-~ <br /> Principal Engine Date <br /> Facilities Mana er Date <br /> City Engineer ,r ~-2 <br /> Date ~~d <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital ProjectpNo. ~ ~ ~ ACK ~ I 9~3~ ~~~YX <br /> GL Title _ r lie-k51u i? ~~FESStaal l4t- <br /> Assigned by ~-P.~q ti Hr~-~-tn Date t1 f Ott <br /> ~ <br /> Accounting by Date 1 ~ <br /> ' ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating OrderPublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />