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PROJECT AUTHORIZATION FORM Englneering <br /> Public Works <br /> ~ ~ City of Eugene <br /> ` ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> j ~ ` <br /> Project title: ~J~ ~ ~ ~ C~ ~ ~ ~ ~ 'V <br /> (location.~d work` d~ ~n~p~ n)/, / ~ f'j ~ O <br /> ~ Project manager /contact /private engineer: <br /> i ~ <br /> r PROJECT SCOPE: <br /> ~r% ~ Paving: ~ ~ I M~ <br /> Bike lanes /paths: <br /> / (w~drns) (Wlarn) <br /> ' ~ 1/ Concrete walks: Setback /Curbside <br /> J (length) (yl~h) f/ <br /> Sanitary sewer Storm sewer ~ n Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~i <br /> APPROVED: <br /> Project Manager Date ~ s d <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3 - /7 - 00 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~`~j XaC~CX ~ ~ <br /> GL Title ~~-~'ZC~'1 S'~"~.,"~'~'/?l1 ~ IV(,~. ~I.t)~~ <br /> Assigned by Date ~ ~ BL7 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> _ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 />