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PROJECT AUTHORIZATION FORM Q Engineering <br />Public Works <br />( City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Service Project ID: title: 'mil it 6 \b JAS`S 6 WA <br />pg (location and work description) <br />~L <br />Project manager /contact private ate engineer: <br />a <br />PROJECT SCOPE: <br />i <br />Paving: <br />Concrete walks: <br />f/ (length) <br />Sanitary sewer Storm sewer <br />Signal <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City Assessments <br />Bike lanes / paths: <br />(width) <br />Setback/ Curbside <br />(width) <br />Landscaping <br />ROW required <br />Remodel <br />Private- Other department <br />Account code <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer <br />Date - <br />Date - <br />Date <br />Date <br />FOR USE BY ADMINISTRATION ONLY o <br />Capital Project No. :5-13841 ACK & 31 433® Xx)CxX °3736 Yf <br />GL Title ~hef I/~A' e✓ <br />Assigned by Date 1 3 f Od <br />Accounting by Date i 3 f 0~ <br />ATTACHMENTS: <br />❑ Budget Estimate ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />SDC Budget Worksheet 5CEngineering Agreement ❑ Engineering Service Work Request <br />❑ City Engineer's Initiating Order Public Improvement Permit Application ❑ Map <br />VFile Request Form <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager MARCH 1998 <br />