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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: , n ~ y , .-yam <br /> J ~1~ y ~~'T~~~ ~ l~l 1~-~ <br /> Project title: <br /> f (lo ation and work description) pp Q~ <br /> ~L ~ Project manager /contact /private engineer:~~~~~~..~.-.~~~~~ ~ f <br /> PROJECT SCOPE: <br /> ~u <br /> J~i ? Paving: , r ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> p~/~ (length) (wid ,r~ <br /> Sanitary sewer _ 1~ Storm sewer ~ Landscaping <br /> 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 /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ' ( _ , <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date 1 ® <br /> Facilities Mana r Date <br /> City Engineer Date ~ " <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <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 / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />