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<br /> -~--,p ~ . _ -4 R ~ ~ _ ,n ~.r+~. <br /> ~~'__"rte , v. _ <br /> R ~4.~ \ / <br /> 'PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> Service ID: ~ ~ SID ~PB GL ~JC ~JE _ (541) 682-5560 <br /> Project title: ~1.2Q.~~L,~r~~r~ •~[l~ci ~ ~ 'v?.9~c~~ -c'`Xrr-~.~s,~o.~/5 ~ ~ LSo <br /> (location and work description) ~ <br /> ~ ~ 4 ~ ~ ~ ~JJ <br /> Project manage /contact /private engineer: ~~f <br /> / c. <br /> ~t ~/`7'~i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer „c ~~Z,( 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 /> (yh,~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r ~ ~7 9 /10 /1'x°!1 ~CS'd~rJ/iSf1r°;~ <br /> a , 'f -e? aft'! GCE w • k, la. ' ` /~'i; H r''~ 1.,./ <br /> ` <br /> APPROVED: f' <br /> Project Manager Date 7/7~ l <br /> Principal Engineer Date <br /> Facilities Mana er Date <br /> Ciry Engineer ~L' Date 7' ~ O <br /> FOR USE BY ADMINISTRATION ONLY <br /> ii 2 <br /> Capital Project No. ^ ~.~~tt~`~ ACK ~y "I ~ U <br /> GL Title ~m ~ <br /> Assigne y Date ~ v <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~r SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ~ ~U n ~/EZl r~ <br /> ,'File Request Form J CO,pr~ <br /> ~E t <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />