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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> . <br /> ' City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service I D: ~ ~ ~ ~ (541) 682-5560 <br /> i <br /> Project title: 1~~ ,~i l . ~ c~ ~ ~ <br /> (location and work description) <br /> i <br /> ' Project manager /contact /private engineer: ill eKSr~ K°'~~- o~ `nc~~~ <br /> PROJECT SCOPE: <br /> 1 <br /> P ® Paving: Bike lanes / aths: <br /> h L - (widrns) p (widrn) <br /> 51 ~ ~ Concrete walks: Setback /Curbside <br /> (length) (width) i / <br /> j ~ Sanitary sewer Storm sewer ~ ~ Landscaping <br /> n~S ? Signal Street lights ROW required <br /> tom"- New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> <br /> ' City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED; ,nJ <br /> Project Manager Date ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~3~00 <br /> Fr~OR USE BY ADMINISTRATION ONLY C3 <br /> Capital Project No/~ ~ / .3~~.~ ACK _ ~ 3 l q~3D ~~X ~ ~.3 O .3~3 <br /> GL Title /ilk/ !/GL.~T_, ~ Y <br /> Assigned by <br /> Date D ~ <br /> Accounting by Date °Z ~9 ~ <br /> . , ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH Y998 <br /> <br />