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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: ~ ~ dY1 e <br /> (loc on and work description) <br /> ~ Project manager /contact /private engineer: <br /> g <br /> PROJECT SCOPE: <br /> L ? <br /> Paving: (widths) Bike lanes /paths: <br /> (width) <br /> 711 ~ I ; Concrete walks: Setback /Curbside <br /> ? (length) (width) _ 1~~~,~ f <br /> Irv1" n,'1 <br /> Sanita sewer - <br /> J~ ry Storm sewer <br /> Signal Street lights ROW re ~e <br /> New building construction Planning, other Remodel <br /> FU INC SOURCES: XF~ ~ Z$ K <br /> Ci~~' Assessments Private~~ Oth~~depar~ment <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS (SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> 1+~ <br /> <br /> j p <br /> ' <br /> - - • <br /> 1 ~ ~ <br /> - <br /> APPROVED: C~1~S <br /> Project Manager Date <br /> Principal Engineer Date .Z <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ 3 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. `~~~aa ACK ~a~ 3~ xX~~ `7®~/0~02 <br /> GL Title ~ I~CCi1'1 ~L-~/7D ~ ~ls~Cl e~'YA~1 Dj'1 <br /> Assigned by Date L~~IO f~17 <br /> Accounting by Date `~l 0~ l `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 />