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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: <br /> Project title: ~ ~ l ~~~~~A~T~ <br /> / (location and work descdption) <br /> w Project mana er /contact / rivate en ineer: riUUfA, ~ -e ~~S ~ ~ ~ ~J~~l <br /> 9 P 9 <br /> _ / <br /> ~,1 PROJECT SCOPE: <br /> ~j~ ~ Paving: Bike lanes /paths: <br /> j lJ+ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> /B (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> r 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 /> APPROVED: <br /> Project Manager Date <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. /~a ~ / ACK _1~~~ ~ ~~U-~~ <br /> GL Title ~ ~t~G$.. S7" ~ Lr <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 /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />