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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service I D: ~ ~ (541) 682-5560 <br /> Project title: i~yit~ ~~r ~~°2..~1' <br /> (location and warkdescri lion ~ ~e~e ~ ~ ~ ~ ~ <br /> Project manage /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: (width) <br /> Kndths) <br /> Concrete walks: Setback /Curbside <br /> i~ ~ ~ (length) (width) <br /> I, ~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> I~ <br /> New building construction Planning, other Remodel <br /> ' FUNDING SOURCES: - ~~~'c~~'S` <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 /> R (f+1L ~ ° • +.T ~S3 is <br /> } APPROVED: <br /> Project Manager Date f/~~~ <br /> Principal Engineer Date ~ ` 7 ` <br /> <br /> ,i Facilities Manager Date <br /> City Engineer Date ~d r 00 <br /> FO~~Rff USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~~7~ ACK ~ ~~5~?~ <br /> GL Title ~ <br /> Assigned by Date 1 ~J <br /> Accounting by ~ f 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 /> ? Ci En ineer's Initiatin Order ? Public Im rovemen P <br /> tY 9 t ermit A lication <br /> 9 Ma <br /> P pp P <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> _ _ <br /> <br />