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~~~~r~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> • 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: 358 (541) 687-5560 <br /> Project title: ~--•~•G• Lb'~~ 1,~ ~ ~j~~, <br /> (location and work description) <br /> Project manager /contact /private engineer: C~A~ lyltt..LS ~ F~vg I~.V,c~~E. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA A- (rt (Ja 2 P p c ~it,~ 5 12 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> rz ~S~ ~ ~®r~a <br /> ~ ~ ,o~ <br /> APPROVED: <br /> Project Manager °'r`~'-'"-^ Date ~q ~ g <br /> Principal Engineer Date ~ .~tL ~ ~ 7 <br /> Facilities Manager + Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. <br /> ~ <br /> GLTitle <br /> E' <br /> Assigned by Date ~ <br /> ~~i <br /> Accounting by c~~~' ~V~~~~~'h Date ~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer 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 /> ? File Request Form <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JULY 1996 <br /> <br />