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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~~~}Is® 244 E. Broadway <br /> ~-1t'3.~- (L'.__._ ~ gene, OR 97401 <br /> `a4 ~ ~ e / ~41) 682-5560 <br /> Service ID: :.ofd V ~,~~-~c,~ iii//1~~~ <br /> ~ <br /> ~r~jecttltle: Qti <br /> (lacat~on and work descnp on ! <br /> _~5°~r~ d A~"~ <br /> Project manager /contact /private engineer: ~Gl~['T ~~~~5 ~~t~i~ -d- q , <br /> f ~ 1. / >n/~.© <br /> PROJECT SCOPE: <br /> j Paving: (w~dtns/ Bike lanes /paths: <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> ~1/t~~~(~t~~Q~-- (tengthJ (width) <br /> Storm sewer Landscaping <br /> Signal Street lights ROW re wired <br /> q <br /> New building construction Planning, other Remodel <br /> <br /> ~ FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~ ~ h~, ~ b <br /> Principal Engineer Date of <br /> Facilities Manager Date <br /> City Engineer Date ~ " ~ ~ d <br /> ~1FO~Rr USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ /~d ACK ~J~i' ~XyC)~Cx ~7~3~79~ <br /> GL Title G ~~~1'1~ ~-~a ~G~1/~~'I <br /> Assigned by Date ~ <br /> Accounting by (f Date ~ <br /> ~ ATTACHMENTS: <br /> = ` ? Budget Estimate ? Develo er A reement <br /> p 9 ? Engineers Report On Improvement Petition <br /> ,~SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> 1~File Request Form /I <br /> ElING 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />