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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> j ~ City of Eugene <br /> - 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ <br /> { <br /> Project title: ~/~U 1~~~~,~, S'c~(~.tJb <br /> (loca 'on and work descripti n) JIL ~ ~~Je ~ <br /> ~l0 5 u~l ~1r~1~~2c c. ~~/1dGlY/V" <br /> Pr~t manage contact /private engineer: <br /> p~ <br /> U V ~ PROJECT SCOPE: <br /> i <br /> / Paving: Bike lanes /paths: <br /> v (widrnsl (widrn) <br /> Concrete walks: Setback /Curbside <br /> ~ w ~ (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> ( Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~O Q..~'ttT11 Q.f"`(lcco 'I"t?~ 12-fZ1 4~ <br /> City Assessments Private Other department <br /> <br /> i Account code <br /> Fed /State /County /FAA fixed) <br /> CO ENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> I! V O t ~ <br /> APPROVED: ` <br /> Project Manager!'~_ ~ ~ - Date <br /> Principal Engineer _ _ Date ~ ` ~ <br /> Facilities Manager _ _ Date <br /> City Engineer _ Date ~ 30 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9~~~oa ACK ~a ~ l0l~9/ 9mS/Da- <br /> GL Title ,.Q,~ Gy.~(~~ <br /> a~~~ /~Y~t1~1//Qf.Ur.1~ <br /> Assigned by Date <br /> Accounting by ~ t 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 /> C~°File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />