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PROJECT AUTHORIZATION FORM Engineering <br /> .I Public Works <br /> City of Eugene <br /> /~C~~w 244 E. Broadway <br /> ~J -Vf"-7r Eugene, OR 97401 <br /> Service ID: , / ` ~11 (541) 682-5560 <br /> SID_ PB GL _ JC _ JE N <br /> Project title: rar ~ ~ Q <br /> (locat~n rk d c ption) ~r <br /> `_g <br /> Project manager /contact /private engineer: ~~M J <br /> PROJECT SCOPE <br /> Pavin ~ ~ ~ (.u I Ra G'~ T~ ~l <br /> g• (widtns) Bike lanes /paths: <br /> } ~ (width) <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 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> i <br /> ~U°t"i-~ 2 ~ F ~ 1 ~ <br /> o-.-. - - <br /> <br /> i APPROVED: <br /> Project Manager ~ Date ~ <br /> <br /> j Principal Engineer Date <br /> Facilities Manager Date. <br /> City Engineer ` b ~a}~ ~ Date <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~T03h~ Aclc__ (031 X330 (oXXSCx 3~`~35 <br /> GL Title ~ ASTwoo~ ~~^IE <br /> Assigned by Date ~ ~ Z-S 0~_ <br /> Accounting by e Date " t/ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> _ l+ ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Rest ' <br /> City Engineer's Initiating Order .Bublic Improvement Permit Application ? Map <br /> File Request Form i. , <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File .GOLDENROD /Project Manager NUARY 20 0~ <br /> 6 <br /> e <br /> <br />