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' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i <br /> i City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: v~~~~ <br /> Project title: 1 ~ ~ <br /> (location and work description) <br /> P~j ? Project manager /contact /private engineer: CJl ~ v1, t~t~S~n <br /> t' <br /> ~ PROJECT SCOPE: <br /> r <br /> Paving: ~I Bike lanes /paths: <br /> ICI (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (id h)~~y <br /> Sanitary sewer 8 Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> I <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 /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer _ Date <br /> Facilities Manager - _ Date <br /> City Engineer _ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ S~'~ ACK ~ 3 ( a 3 30 x xy xX 3 ~ 3 8 3 7 <br /> GL Title ~T ~lA'~E .~.I-~6d~IVlSlbrl <br /> Assigned by Date t~3 0~ <br /> Accounting by f~~~~tMJw Date ~ ~ ~ 7~ ~ Db <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 />