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PROJECT AUTHORIZATION FORM Engineering <br /> i:. <br /> Public Works <br /> z <br /> ` City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ (541) 682-5560 <br /> Project title: ® p~, <br /> (lopati~on and work _ cdplio ) <br /> j 3A~VR 0~tr°a <br /> ~ <br /> ' Project manager /contact /private engineer: ~ ~snn C ~ [ C~I'l v1a ~lA.he t!~~r~ P ~ <br /> ~ ~G PROJECT SCOPE: `~,j <br /> ~ S~ D Paving: ~ ~ YYl ( I ~ r~ , g Y'Yl ~j ~Ji <br /> [ ~ (widths) Bike lanes /paths: <br /> ~ Concrete walks: n ~ (widrn) <br /> (length) Setbac /Curbside <br /> Sanitary sewer (warn) <br /> 5 Storm sewer Landscaping <br /> i <br /> i Signal Street lights ROW required <br /> i <br /> ~ New building construction Planning, other Remodel <br /> <br /> i <br /> FUNDING SOURCES: ~ <br /> City Assessments Private` Other department T <br /> Fed /State Cou /FAA Account code <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,_.7 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date 2 ~ 23 ~ad ° <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK /D~ / g~,j X X ~ `f, j~~"~ <br /> ~J <br /> GL Title J /~C... /(l~Y d K/~)h <br /> I <br /> Assigned by o~ ~ p0 <br /> Date <br /> Accounting by !J/ ~~~g~~~ <br /> Date , <br /> i <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement <br /> f <br /> SDC Bud et Worksheet ? Engineer's Report On Improvement Petition <br /> g Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map ' <br /> File Request Form <br /> i <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 4 <br /> i <br /> <br />