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a <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> _ 244 E. Broadway <br /> V Eugene, OR 97401 <br /> (541)682-5560 <br /> ' / ~ vService ID: ~ <br /> t~l, /Project title: ~ ~ 1~a <br /> (/ocatio d work description) <br /> J <br /> Project mans er /contact / rivate en ineer: K- S U~7 f~B ~ t"~ ~ <br /> 9 P 9 <br /> PROJECT SCOPE: ~ <br /> Paving: ~ / ` Bike lanes /paths: ~ ~ / <br /> (w/drns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> ~f (length) d~a ~ i~ <br /> Sanitary sewer ~ Storm sewer t ~ ~ ~ Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private C Other department <br /> Account code <br /> Fed /State / Coun /FAA <br /> ty fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> <br /> ~ Project Manager Date I <br /> i <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ Z "g''~9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3 ~33 ACK ~D3 ~ q 3~ ~ ~~x~U~ 37 3 gaj <br /> n~~~Jl GL Title 1 d 1l~ ~~5~ ~ Y 12GZdbl.t)S ~ ~ /"~C~ <br /> n <br /> Assigned by t't ~-1-~ Date ~Z'~' "I `I <br /> Accounting by ~ ~ ~~~-t-d1 Date _ ~ 2 ~ <br /> ATTACHMENTS: <br /> ` ? 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 ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 7998 <br /> <br />