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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i r _ <br /> City of Eugene <br /> ~ . <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service I D: (541) 682-5560 <br /> C Project title: ~ <br /> L (location and work description) <br /> ~"E'Y" ~ <br /> ~ ~ ~ Project manager /sea#act : f~~ S <br /> <br /> ` ~ C~ <br /> PROJECT SCOPE: ` <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> I~ (length) (width) <br /> Sanitary sewer} Storm sewer ~~.SG' o Landscapingy/ <br /> Signal / Z°~' Street lights ® ROW required v <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ ~ ~~515~ <br /> City Assessments Private Other department n <br /> Account code <br /> fixed <br /> ( ) <br /> COMM NTS / SPECIA PROJECT INFO. / INTERDEPARTME TAL WORK DESCRIPTIO <br /> ~ 1~ l~Y <br /> ~ <br /> lam? <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date 2-` <br /> j <br /> Facilities Manager Date <br /> City Engineer Date _ /2 ' 3 - 9 9 <br /> FO//R USE BY ADMINISTRA/T~ION ONLY <br /> Capital Project No. ~®~aST ACK ~~3 % .~30~ XXx}Cx 9 ~ g~~~~~ <br /> GL Title ~ ~G2~ <br /> Assigned by Date ``?~~_'`Y <br /> Accounting by Date ~O <br /> 9~ <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 />