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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID:- 0~3R 5 (541) 682-5560 <br /> Project title: PWT --c~Fm~Katt ~ on / North End Prod ect <br /> (location and work descnpt~on) <br /> ?~'1 <br /> ~ ~ Project manager /contact /private engineer: Tom Larsen <br /> ~J C PROJECT SCOPE: <br /> j ~ ~ Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: <br /> Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping vF. <br /> Signal maybe Street lights YES ROW required YES <br /> New building construction Planning, other YES Remodel yF.S <br /> FUNDING SOURCES: <br /> <br /> i <br /> City none Assessments Private AMTS Other department FEDERAL <br /> Account code <br /> Fed /State /County /FAA -_pDC-1T - + • r+nn+,-a,.+ mana~emPnt fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ <br /> Project Manager Date <br /> Principal Engineer Date <br /> Faciljtie~s~er Date <br /> Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 05 I't 3 ACK 3 I 1 9 33(o X X X X X 91 9 051 ~3 <br /> GL Title ~ /Vl 7 ?'G.k S~"Q,~1 n?'1 <br /> Assigned by Date ~i~~~J99 <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 ? 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 />