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err X ~ , <br /> • <br /> "t <br /> PROJECT AUTHORIZATION FORM ~ ~ _ ~ Engineering <br /> - Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> r (541) 682-5560 <br /> Service ID: ~ ' 6 ~ y SID_f PB ¢M i~ GL JC v JEt yt~• <br /> Project title:. ~ n~ ~J"}'d I2. r~.1 ~A~F-~-l ~'1 ~ ~ -r` lam- ~-~1 <br /> (locatio and work description) <br /> Project manager /contact /private engineer: 1 A~ 2•?t:_ ie ~(a~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> 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 /> ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,~itr'. C.~'ih4r r~ f <br /> '7'S f' l= ~I <br /> ,n ~ <br /> APPROVED: '~sr - <br /> f <br /> Project Manager r~ r~'~" ~ Date <br /> Principal Engineer ~ } Date r ' ~ r % <br /> ` des Manager ~ ~ Date <br /> Ciry Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> c - , t... <br /> Capital Project No. ~ G"---~ ACK LAX K. K `~~'f~ 7~ <br /> GL Title ~ ~a' d1. <br /> Assigned by Date L ~ <br /> Accounting by Date <br /> . Aj~ACHMENTS: - <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 /> E~IG 415 WHITE /Finance YELLOW I Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br /> i:, <br /> <br />