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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~j'a (541) 682-5560 <br /> j Service ID: ~ ' _ <br /> Project title: _IV l~~'s'1°1~' ~~~r~ ~-~''f-~~ I ~/j'`1a Y~--- <br /> it r <br /> (loc lion and wo escdption)e~ ~ <br /> n ~ t <br /> ? Project manager /contact /private engineer: <br /> ~l~ <br /> PROJECT SCOPE: <br /> ~~~f! <br /> / Paving: Bike lanes /paths: <br /> J~ V (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ~ <br /> Sanitary sewer Storm sewer Landscaping~rfa~6.G[~~]r(~_ <br /> i Signal Street lights ROW requiredY <br /> New building construction Planning, other Remodel ~3 <br /> <br /> j FUNDING SOURCES: ~ ~ ti <br /> City)~~~'~7__~? <br /> ~~'i'1n~=Si~/~ Assessments Private Other department <br /> 0~ Account code ~i~~ ~j~ <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r ~ ~I <br /> e <br /> ~ <br /> 1~~ <br /> r <br /> APPROVED: <br /> Project Manager Date 4~~~ <br /> Principal Engineer Date 9 ` <br /> Facilities Manager Date <br /> City Engineer Date 12--3 -1`J <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ S~j 2- ACK 33~ g335 XxfCX~( ~95//z, <br /> GL Title Pwm m~1gQJ'1 <br /> Assigned by Date ~ <br /> Accounting by Date ~ °~7,~~//q~ <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 7998 <br /> _ <br /> _ - <br /> <br />