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. . <br /> PROJECT AUTHORIZATION FORM Englneering ~ <br /> Public Works <br /> ~'C- City of Eugene <br /> ~ u ~ ~ ~ ? JG J 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: <br /> Project title: <br /> C~IC- ~ i~ <br /> (location w rk e~ri t' ~ ~ p A ~ y _ ~ ~ ^ C`;~~ <br /> d~ ~ ` 'YAt`"~~t1 ~ j [tee C <br /> Project manager /contact /private engineer: !v lGt'~~'~ r l~.-' V~~G ~ ~ ~ L J <br /> PROJECT SCOPE: <br /> ~ Paving: ~ Bike lanes /paths: <br /> ~ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> j ) j (length) Kndth) <br /> Sanitary sewer g Storm sewer ~ ~ ° f ~ Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING.SOURCES: <br /> j City Assessments Private Other department <br /> <br /> it Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> <br /> I <br /> <br /> i <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ ~ <br /> Principal Engine ~ - Date <br /> Facilities Manager Date <br /> City Engineer ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. = ~ ~ ACK - _ ` - I ~ <br /> GL Title ~ „f~ <br /> s <br /> Assigned by ~ ~ _ - Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> c~ ? 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 /> `F'ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />