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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> • 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~j (541) 687-5560 <br /> Service ID:_ <br /> Project title: ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ` ~ ne~~r <br /> i <br /> . PROJECT SCOPE: ° <br /> Paving: <br /> (w°dfns) Bike lanes /paths: <br /> (width) <br /> Concrete walks: ~1it3 Setback /Curbside ha <br /> (length) (width) <br /> Sanitary sewer~,~ Storm sewer Y!~ Landscaping-1'i~ <br /> Signal Street lights-~~ ROW required <br /> New building construction r'l(f2 Planning, other 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 /> s' <br /> APPROVED: <br /> ~ Project Manager Date <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> <br /> i City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> zt°= <br /> °~C-,a~ita#~ Project No. ACK °`d..~~~`~~7 ~~~~~i'~°~ <br /> GL Title ~ ~ :s-,>--" <br /> Assigned by ~-~a <br /> Date <br /> Accounting by / ° ~ ~ ~ <br /> Date <br /> ATTACHMENTS: <br /> ( ; ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? File Request Form <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JULY 1996 <br /> <br />