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PROJECT AUTHORIZATION FORM En9.neering <br /> ~ ~ Public Works <br /> J~~ / / ~~Z ~ ~,n / t City of Eugene <br /> - - 6,~ a? J~ -----244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ ~ (541) 682-5560 <br /> Service ID: ` <br /> Project title: ~ ~ ~ % ~ ~ ~'T ~ l-e ~ ~'~i~ <br /> (loc end work description) i ~ ~ ~ / <br /> Project manager /contact /private engineer: I v~'~ ~ ~2~~`'~ <br /> V <br /> PROJECT SCOPE: ~ <br /> Paving: ~ ~ Bike lanes /paths: <br /> ( idths) (width) <br /> <br /> j 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 /> 1~1T"c(-E 3~1 ~ ~ <br /> APPROVED: <br /> Project Manage Date ~ 0 <br /> Principal Engineer Date <br /> Facilities Manag r Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~~©r ACK lt~~~ ~jl~~C~(1C ~ 7 ~ <br /> GL Title ~ ~ ~ / <br /> Assigned by Date ~ Q ~ <br /> Accounting by Date <br /> r ATTACHMENTS; <br /> e> <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement tong <br /> ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Requ ~ ` <br /> ? City Engineer's Initiating Order C~blic Improvement Permit Application ? Map ec~g~~ • ~ w <br /> File Re uest Form - <br /> q ~ ~~{~Ir <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ARCH 1998 m <br /> <br />