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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> P~ ? Eugene, OR 97401 <br /> ~ervice ID: (541) 682-5560 <br /> P oject title: l ~0~ I~\` `d~'~ ~ , ~ s <br /> l <br /> (l°cahon and work description) <br /> f <br /> J ~ Project manager /contact /private engineer. C)~ ~C"i ~ t7~' - t ~ ~_d\j~ <br /> 1 <br /> i PROJECT SCOPE:~ ~ <br /> Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> <br /> i i 0 (length) (width) <br /> <br /> i Sanitary sewer ~ Storm sewer Landscaping <br /> Si nal <br /> 9 Street lights ROW required <br /> New building construction Planning, other Remodel <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 ~ z - 8 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~32- ACK X03 ~ ~ ~j ~U kX~XX ~J7~j~~ <br /> r <br /> GL Title ~ O ~ S ~ <br /> ` Assigned by ~ Date _ ~ 2 ~ <br /> a <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 ublic 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 />