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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ ~ - ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> p' ~ (541) 682-5560 <br /> Service ID: a <br /> pP~" ? roject title: S ~ • V <br /> (location and wo escdption) <br /> ~A ~ e/ Project manager /contact /private engineer: b'h rF- ~ ~ r'ir1,S <br /> d~' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wiarns) (widtn) <br /> Concrete walks: N O etb /I.~r~beiele~~"~ ~ <br /> (length) (width) <br /> Sanitary sewer ~ Storm sewer Landscaping 1yd <br /> Signal 1,, ~ Street lights i~~ ROW required 11N O <br /> New building construction u~ Planning, other ~ O Remodel ~J~ <br /> <br /> i <br /> FUNDING SOURCES: / <br /> City Assessments Private V Other department - <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project N ~7~g~ T ACK 4~-~{ 9~~ XX l~~X °~~°34/~ <br /> GL Title ~ s~ ~r <br /> ~ Assigned by Date <br /> ~ ~ Accounting by Date /SJf <br /> ATTACHMENTS: <br /> ~ _ ? Budget Estimate ,~,~eloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet L~~, <br /> E~neering Agreement ? Engineering Service Work Request <br /> C~' Engineer's Initiating Order LJ~'Public Improvement Permit Application ? Map <br /> L~"File Request Form <br /> ENG 415 WHITE / Rnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />