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. <br /> ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ( City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> 2 ? ? ® (541) 682-5560 <br /> ~~3~ <br /> Service It: <br /> Project title: _~~INJCn~ /®WrMI~Dti' l~v~t~ <br /> (location and work description) r ~ j <br /> Project manager /contact /private engineer: S c~~~ ~V Cam.-C..'I''~ <br /> PROJECT SCOPE: <br /> i <br /> ~ Pavi n <br /> <br /> ~ 9~ (widths) 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 /> W L u l~ ~~G~~'t! ~ <br /> New building construction Planning, other ~ emodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~j d ~ U 02~ fw Cj?j-~ - Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO: /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 53 . ~l r s vrn. <br /> ~ 't ~n v ti ~ c t~ ' d r. <br /> • C1 <br /> t v I, <br /> Y <br /> APPROVED: <br /> Project Manager Date ~ V '~7 " O / <br /> p~ewr Date <br /> ~si4+4ies-Ptharrag2T Date <br /> r^.+-,.r~~e+' Date ~O r~r C:?~ <br /> PpS D; rs <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ Z 5 2 ACK 53 ~ ~ ~~Z CO kX X X ~ 2 ~ j ~ Z <br /> GL Title ~ Yh ~ 2 ~owQr I~1Q~,~ <br /> Assigned by Date I ~ 2 <br /> Accountin by Date ~ ~ ~ <br /> "~A'A ENTS: <br /> ? Bu,~lget timate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ > ?'SD.~;:Bud et Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> t~4~Q' City End er's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Rec,l st Form <br /> ~ WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />