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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 /> J Service ID: <br /> ~ Project title: ~ - <br /> (location and rk description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> ~ f (widths) (width) <br /> Concrete walks: I y ~ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer iJ~ Landscaping <br /> Signal ~ Street lights ROW required r~~ <br /> New building construction Planning, other <br /> <br /> I' ~ ~ Remodel IV ~ <br /> FUNDING SOURCES: <br /> City Assessments Private ~ 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 Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> PVI ~ ~ 73 <br /> ' al Project No. n , ~f ~ ACK <br /> GL Title J ~ ~.~-L~-~G~l~[~(F7~ ~~~21,c~e~" <br /> Assigned by Date ~02 <br /> Accounting by Date ~ 0702 <br /> ~ <br /> ` ATTACHMENTS: <br /> I. <br /> ? Budget Estimate Dweloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ,LK, <br /> E~Ineering Agreement ? Engineering Service Work Request <br /> ngineer's Initiating Order L>~'Public Improvement Permit Application ? Map <br /> Fil~i" le Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration Rle PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> _ _ _ <br /> <br />