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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ (541) 682-5560 <br /> Project title: ~ .fit,. <br /> ~6'~ V~ ` ~:.~t~! '~T~ <br /> <br /> ~ (looahon descri ion <br /> ~~QQ,,,, II ~1 <br /> "t'"roje~ct rhanager~/ contact pn ate engineer: ~ L, <br /> ~L ~ PROJECT SCOPE: ' ~i~/~/~ <br /> P~ t/ Paving: ~ ~ ~ 1J T"[ ~C~"C~ Bike lanes /paths: <br /> (widths) (width) <br /> ~j~ V Concrete walks: Setback /Curbside <br /> p rn (widrn) <br /> Sanitary sewer C~ ~ 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 /> APPROVED: <br /> Project Manager Date `Z ~ ~ ~7 <br /> -R~i~eiP~i Engineer _ Date Z <br /> Facilities Manager _ Date <br /> City Engineer Date tZ - 3 --~j~j <br /> FOR USE BY ,ADMINISTRATION ONLY <br /> Capital Project No. ~~_38~ ACK q 33d X XxxX J73~j~ <br /> bb GL Title SP21a~ I~~.~lD ~~.1/Pa~iaC, <br /> Assigned by Date ~d ~ <br /> _ Accounting by /~.~J Date ~a` b `7~ <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 Public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> _ <br /> _ <br /> <br />