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r <br /> l <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl Street <br /> Eugene, OR 97401 <br /> (503)687-5291 <br /> Service ID: <br /> .Project title: ~ ~ ~ ~ n ~ l'1 <.t. <br /> (location and work desc~ption) <br /> Project manager / : J O~ rt G m w~. O h S <br /> ~ PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal _7~S Street lights ROW required <br /> New building construction Planning; other Remodel <br /> FUNDING SOURCES: <br /> City s,_}~'_ =1(Lr>~S~Assessments Private Other department _ <br /> Account code ~ <br /> Fed /State /County /FAA fixed) ~ <br /> COMMENTS! SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~Dd o o <br /> APPROVED: <br /> Project Manager Date <br /> Principal Enginee Date _ <br /> Facilities Manager Date <br /> City Engineer Date <br /> C~ FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ? s ° <br /> O Y <br /> GL Title ' N~ ?/4 ~ ~ 1~ j <br /> Iii St`~g~1C <br /> Assigned by ' ~ Date ~ <br /> Accounting by ~ 1~ Date ~ ~ <br /> ATTACHMENTS: <br /> <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 /> 5/93 ~~;~•r' K WHITE /Finance YELLOYJ /Administration File PINK /Engineering File GOLDENROD /Project Manager <br /> _ _ <br /> <br />