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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> d (541) 682-5560 <br /> Service ID: -T <br /> Project title: E 2- ~ ~A2KIAIG ~Qq/A T2~}t L <br /> (locatron and work description) <br /> P~ ~ <br /> ~y L ? Project manager /contact /private engineer: /CE3~ ~E-~-toT~" <br /> ~1 ~ PROJECT SCOPE: <br /> JGv Paving: ~STRtPtAt~, ~ (~dths) Bike lanes /paths: <br /> <br /> I (widrn) <br /> Concrete walks. Setback /Curbside <br /> J G (length) (width) <br /> Sanitary sewer Storm sewer Landscaping__~_ ! L <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City S~'ORwt WdTE2 Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ? E 2 D u iR~?.~F a ~ 7'K~ ~~~tT ~ 5 7a ~QD <br /> c_! <br /> ~~DA~ <br /> 2K~~4T ~'/t E- <br /> s, r ~ ,~Ailj-7~-~~sT~sT /~_TA~/~ ou rt,/ - E'2g s-i TF' <br /> e:~ <br /> I t~ I! arnn S 3 2 75d~ 31 332 1 ~ 5 53'-E2- <br /> APPROVED: <br /> Project Manager Date ~2''~3' 99 <br /> Principal Engineer Date ~ 2 ' 22-`~~-- <br /> Facilities Manag Date <br /> City Engineer Date ~ 2'"22'- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~d 7~ ACK ~3/ g33°Z ~'73 J ~®S~~®~ <br /> GL Title ~ <br /> Assigned by I Date l ~ _!L_ <br /> Accounting by Date Ov <br /> ,i" 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 />