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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> r" ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> ~y ervice I D: L / L 1 <br /> roject title: ~ at,/~ / ' ~ ~ J 6~ i t/i$' j DII ~ ~ 7'C„ S/ -V i~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~I/E •c <br /> s <br /> <br /> I PROJECT SCOPE: <br /> r <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S``O//URCES: ~31 ~ 33 2 Lol74r'j ~'85a2(o <br /> City Jam., Assessments Private Other department <br /> Account code <br /> Fed /State /.County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTI N: ~ <br /> t r , <br /> i ,l~// o~ ovr1 o+~/'q~/ra <br /> t ~Ja r u- e r <br /> d t ~ N/4 ~ a <br /> ~ ~ <br /> 1~ u <br /> APPROVED: ~ OQ <br /> Project Manager Date - <br /> Principal Engineer L Date <br /> Facilities Manager Date <br /> City Engineer Date ° <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. L~~~~~ ACK ~ ~ ~ ~ 7' <br /> GL Title rv <br /> Assigned by Date d/ ~ <br /> Accounting by Date ~j <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 ? 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 /> <br />