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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> { ~ 1 ® r°~ ~ ~ C ~ p-----~ City of Eugene <br /> ® 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: <br /> j Project title: f <br /> a /L T - L c/~/~ f Gf ` C/j~-~ L ~f%f <br /> L/.~C~~ /SJh~ll% <br /> ~ (location and work description) <br /> Project mana er contact /private engineer: - fitJ /9 ~ d Q u ~ Y <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> <br /> 'i New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~ Account code <br /> Fed /State /County /FAA v O~' _ fixed) <br /> COMMENTS /SPECIAL PROJECT IN_FeO. /INTERDEPARTMENTAL WORK DESCRIPTION: G 1 p <br /> ~g <br /> , S .~-kw-,(j, <br /> ~ ice[- ~ 13 , Z©o 06 ~•t~+c'~-s <br /> APPROVED: <br /> Project Manager ate Lam! <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer- ~ Date l~ • ~ `C31 <br /> G Q FOR USE BY ADMINIST%1RATLON ONLY <br /> Capital Project No. / ACK ~/OS ~~x '7a~s®®`~ <br /> GL Title ~/eG~/~CCf ~ t./ <br /> Assigned by e Date ~ ~ <br /> ` <br /> Accountin by Date [ICJ <br /> ATTACHMENTS: <br /> - Budget Estimate ? Developer Agreement ? Engineer's Report On Improvemen~~e'tition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ~~Aap <br /> ? File Request Form _ <br /> ~ f, <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~f4~H 1998 <br /> F <br /> <br />