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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~ City of Eugene <br /> 244 E. Broadway <br /> C°,tL Eugene, OR 97401 <br /> P b ~l (541) 682-5560 <br /> ~c-~v~ Service ID: <br /> J ~ ~ Project title: ~ ~ • 'K-1~ <br /> i (location and work description) \ ' I r,, r <br /> Project mana er /contact / rivate en ineer: ~ V U' ~-6 Ic r <br /> 9 P 9 <br /> PROJECT SCOPE: <br /> Paving: ~ ~ Bike lanes /paths: [ jj <br /> (widths) (width) <br /> ~ Concrete walks: ~ b Setback /Curbside t~ 6 <br /> (length) (width <br /> Sanitary sewer ~ t ~ -Storm sewer ~_1,o Landscaping ~ 'y <br /> Signal ~ Street lights ROW required ~ <br /> New building construction ~ ~ Planning, other ,fib Remodel ",V <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 /G//b__ <br /> Principal Engine Date / C~ <br /> Facilities Manage Date <br /> 6 <br /> Ci En ineer Date 9 ` `7 <br /> tY 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Pr`~~ ~ <br /> Cola Project No. ~ ~ ACK <br /> GL Title ~~b~ <br /> Assigned by Date ~ ZZ 7 <br /> Accounting by Date ~ <br /> - ATTACHMENTS: <br /> ? Budget Estimate ? eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ,engineering Agreement ? Engineering Service Work Request <br /> ?,_,~Ity Engineer's Initiating Order U Public Improvement Permit Application ? Map <br /> L!T File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration Fie PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br /> ' _ <br /> <br />