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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> _ 244 E. Broadway <br /> Eu ene OR 97401 <br /> 9 <br /> ? I~GG (541) 682-5560 <br /> Service ID: <br /> ~I Project title: U <br /> i (location and wo description) <br /> i <br /> Project manager/contact/private engineer: ~1n i"1U. <br /> i <br /> i PROJECT SCOPE:. <br /> Paving: '~--b Bike lanes /paths: ~ ~ <br /> (widths) width) <br /> Concrete walks: ~ <br /> 1~ ly O Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~„~~.-S Storm sewer IJD Landscaping i~0 <br /> Signal \ Street lights i~~ ROW required l~ <br /> New building construction___~ Planning, other -_~S ~ Remodel ~ a <br /> i <br /> FUNDING SOURCES: <br /> City Assessments Private v Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> APPROVED: ~ ~ <br /> Project Manager _ _ Date ~ ~s <br /> Principal Engineer Date <br /> <br /> :i. Facilities Manager _ Date <br /> City Engineer Date` ~f <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ e_36 ACK !O~/ ~3°3~ ~/~q~ ~3~d~" <br /> GL Title <br /> Assigned by Date 3 <br /> Accounting by /l ~y Date 3// <br /> ATTACHMENTS: <br /> ? Budget Estimate ? eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering 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 />