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J <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID:__~~ <br /> ~ ~,~~,~~~~t <br /> ' Project title: 2~-~ 2 <br /> ~ 1 <br /> t~ (location and work description) <br /> !l/ddd <br /> GL~ <br /> Project manager /contact /private engineer: G~-~ l~L Ll,s <br /> a ? <br /> PROJECT SCOPE: <br /> ,~(t/ Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Si nal <br /> 9 Street lights ROW required <br /> I <br /> New building construction Planning, other Remodel <br /> i <br /> FUNDING SOURCES: <br /> City ~ O`'~o Al~pn~Assessments Private Other department <br /> o d Account code <br /> Fed /State /County /(~AA~ d ~/~-~9 --~~.,J~ t N S~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> v % ~ <br /> ~ c~ ~ ~ ~ ~e r-e:. <br /> r I~~o o~~ ~ L L Q o <br /> aT~ S'~~c Icy ~ r,..) ~.r~ ~ P c ~ ,Qa,ac~ S r4.,.5~ <br /> <br /> { APPROVED: nn- , / <br /> ~ Project Manager /V, ~ ° 'r""" ~ ` Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date s 2 ~66 - J °J <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~2~'~. ACK ~~Z v133~ ~XXXX q~~2 2 <br /> GL Title ~ ~ 3 ' 2. S V f'~P~ <br /> Assigned by VY Date ~ai / vim// g ~9 <br /> Accounting by Date ___~_t-`~~~-F- <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 /> <br />