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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> ' Eugene, OR 97401 <br /> 1 <br /> (541)682-5560 <br /> Service ID: A t <br /> Project title: 1~~ ~ ~ ~r y <br /> (locatio and rk descri lion) ~ ~ <br /> P o~ect manager /contact /private engineer: ~ <br /> C L PROJECT SCOPE: <br /> ~g ~ Paving: (widtns) Bike lanes /paths: <br /> / (~idrn) <br /> ~u Concrete walks: Setback /Curbside <br /> (n t (wi h) <br /> •JG Sanitary sewer ~ Storm sewer Landscaping <br /> Signal 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 /> <br /> i <br /> APPROVED: / <br /> Project Manager ~ Date 2! <br /> q9 <br /> i'rinetp~a+-Engineer Date ~ Z <br /> Facilities Manager Date <br /> City Engineer Date i? Z ~ 3 " ~ 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 383 I AcK X31 Q 33o XXxxx 3?3531 <br /> ~ GL Title (DW d Cluster S{,~,bdtvl5 O?1 <br /> ~ Assigned by Date ~oZ I b <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~t._. ? 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 />