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° PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> 3Sp ~ (541) 682-5560 <br /> r Service ID: CC-~~ <br /> Project title: ® Q~ Y h ~lL4./ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> ~ PROJECT SCOPE: <br /> Paving: j~~:9 Bike lanes /paths: <br /> (widrns) (widin) <br /> ~ Concrete walks: ~ ® Setback /Curbside <br /> ' (length) (width) <br /> Sanitary sewer c~ Storm sewer Landscaping ~C2 <br /> Signal ~ ~ Street lights 1L3 ® ROW required +J <br /> New buildin construction ~ <br /> Plannin other O R m O <br /> 9 a odel <br /> 9~ <br /> FUNDING. SOURCES: <br /> City Assessments Private Other department <br /> <br /> E Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager- Date t ®Qq <br /> Principal Engineer Date <br /> Facilities Manager ,t m Date <br /> City Engineer ~~t t- Date ~ <br /> y <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~~~~f~ <br /> GL Title - <br /> Assigned by Date _ ~ ~ <br /> Accounting by Date _ - <br /> ATTACHMENTS: <br /> ? Budget Estimate ,?~~D~toper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Ll~~gineering Agreement ? Engineering Service Work Request <br /> C~' Engineer's Initiating Order L~ Public Improvement Permit Application ? Map <br /> L~"File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> _ <br /> <br />