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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> - 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: <br /> Project title: <br /> ~ (loc i°n and wank descrip "on) <br /> ~a <br /> Project manager /contact /private engineer: 1 <br /> C.~~ <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 /> i <br /> j Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ <br /> City ~ Assessments Private Other department <br /> i <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> '~G%Li/ liar ~ ~~L.~-- (~~Jr?N~oQ.----- I <br /> V' ~ li - <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer ° ~ Date <br /> Facilities Manager , Date <br /> City Engineer Date ~ r ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9D5D9~ ACK 021 9.33s Loo~9/ 9O-S0 9~ <br /> GL Title ~~i(~-D ~Lt~G~ ! ~;l~i~y~~ ~xJ <br /> Assigned by Date ~/9 ~ <br /> Accounting by ~ ~ 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 /> File Request Form <br /> ENG-415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br /> ! _ _ <br /> <br />