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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 /> Pb J Service ID: 3~~ <br /> P~'C? Project title: ~G--!'~1~~ Dh~ t~Qs ~,~/'/~c.~& c~.~er" e~~, ~~~I')d71~ ~ ~c~~ ~.S <br /> (location and work description) <br /> J~ <br /> Project manager /contact /private engineer: 't v~ <br /> <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: ~ <br /> (w;drns/ (widrn/ <br /> Concrete walks: Setback /Curbside /l <br /> (length) (width) <br /> Sanitary sewer Storm sewer _ Landscaping <br /> Signal 1~..1~ Street lights ROW required ~t'~ <br /> New building construction b Planning, other ~(..~.~9 Remodel <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 L° <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~~lC' l9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ 3~ ~3~ ~e~9i X73 ~~~o <br /> GL Title ~P~1 nr; t/~ cJ ~pr~, L(/Q~e*^ <br /> Assigned by Date Q ~U <br /> Accounting by Date -6 <br /> _ ATTACHMENTS: <br /> ` ? Budget Estimate eveloper 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 /> l~File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />