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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> pp yy~~ Service I D: (541) 682-5560 <br /> f ~J V <br /> ' C1L ? Project title: T ~ ~G,~ ~ <br /> potation and work description) <br /> JG / Project manager /contact /private engineer: G~ ~ I~l®.R`+ l1~ ` . ~ ll~ <br /> PROJECT SCOPE: ~ <br /> Paving: 2~ ~ ~ ~ 1 t'tt.-C~-`~5 ~ Bik <br /> (widrns) a lanes /paths: <br /> ~ Concrete walks: ~ ~ ~ > (widrn) <br /> (length) (width) p o® Setback / urbside <br /> I Sanitary sewer Storm sewer I G Landscaping <br /> j 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 /> <br /> j COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer _ _ Date <br /> Facilities Manager Date <br /> _ <br /> City Engineer _ . _ Date 3 ' ~ Q <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ~ ~ ACK ~~(>C~,~ ~ <br /> GL Title _ ~~r-v~s. ~ <br /> Assigned by Date ~ <br /> Accounting by j <br /> Date <br /> i <br /> ATTACHMENTS: j <br /> - ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet En ineerin A reement <br /> 9 9 9 ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map r <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> _ _ _ <br /> <br />