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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> n~~/ City of Eugene <br /> G I V , /JJ~, 244 E. Broadway <br /> I ° L~ /jJ Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> Io <br /> Project title: ~V ~ ~ t ~,~j~ <br /> (location ~ d wort description) _ <br /> e,~L, '4/ Project manager /contact /private engineer: <br /> J.~N/~ PROJECT SCOPE: <br /> <br /> ~ Pavin <br /> 9~ (widrns) Bike lanes/paths: <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> (len9rn) (width) <br /> Sanitary sewer Storm sewer ~ Landscaping <br /> Signal Street lights ROW required , <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES~~ (~~j~.y~ ~'~lS~'' ~~i,fl ~sr /-je, <br /> City Assessments Private <br /> Other department <br /> Account code <br /> Fed /State /County /FAA. fixed)_ <br /> COMMENTS /SPECIAL PROJECT INFO. / INTEJ~DEPARTMENTAL WORK DESCRIPTION: <br /> f,,_- <br /> APPROVED: 4 <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3~8r~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. / ~ O ~ G~ r ACK Jr~l - 933x-~l~yTj- 9°750 ~.(o <br /> GL Title »riP ~45~ ~i~ ~C~ L[1 <br /> Assigned by Date <br /> Accounting by Date <br /> ~ ATTACHMENTS: <br /> Bud et Estimate 5~.~ ~ti~ ? Develo er A reement <br /> - ? 9 p g ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public 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 />