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i <br /> <br /> I o <br /> V <br /> - G <br /> Engineering <br /> 'PROJECT AUTHORIZATION FORM Public Works <br /> ~ ~ ~--1t,.,.._. ..1 C- City of Eugene <br /> 858 Pearl Street <br /> Eugene, OR 97401 <br /> (503)687-5291 <br /> Service ID: ,.,/.~,,v~~~ <br /> Project title: ~ <br /> N(~-~~~~ ifreQKef~?~~~ <br /> (locahon and work description) <br /> i <br /> Project manager /contact 1 private engineer. t ~ j L! p ~.t GH~,~SD~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) ,t i} (width) <br /> Concrete walks: ~ Setback /Curbside <br /> } (length) ` ' (width) <br /> Sanitary sewer ''x, , ~ Storm sewer ~ Landscaping <br /> ~}4 . <br /> Signal .a Street lights ROW required <br /> P~?~ <br /> New building construction Planning, other R~ b~~/t;1,erM4N~Remodel <br /> FUNDINCa SOURCES: <br /> f City ~'t'~` Assessments Rrivate Other department _ <br /> i j , Account code <br /> ~ Fed !State / County f FAA ~ ~ fixed} <br /> OMMENTS J SPECIAL PROJECT INFO. I INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 4~ o~p-,pis 130 ~ ~ . I ~ tr- - <br /> z ; ~ <br /> APPROVED: , <br /> Project Manager ~ I~ L-- Date F ' 0 <br /> ~ ~ ~ Date _ ~ 0 <br /> .J ..Eaacilitlies.Mauager ~ ~ ~~'---~J! l Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g35a~Z ACK 3Z~ 9335 C1~'XXl~X g3~a'Z <br /> I i <br /> ` GL Title ~"~I.~.v1C.~11 <br /> Assig ed by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> f y ? 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 /> 5/93 5 WHITE) Finance YELLOW / Administtatfon File PINK / Engineering File GOLDENROD / Projecl Manager <br /> <br />