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<br /> . ~ <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> / / / ~ ~ (541)682-5560 <br /> Service ID: SID//'~ PB GL v_ JC JE _ ` / / \ <br /> Project title: 2005 ~b7yl7~ZC,~7'tLLi~ l'V.~S~LtlRf6/Z ~?C~.s~/S ~ V~4i2~ous ~c.OC'~4~p~LS ) <br /> (wcarion and work ae~t~) ,!J/ <br /> Project manager contact /private engineer. /G~ ~L <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: f/ <br /> Concrete walks: Setback /Curbside <br /> r~ l~ro <br /> Sanitary sewer 230i~ L~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOU CES: ~,,~D~G ~m 33~ 9'~fS07S !o< 73S <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJ1ECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: 1~ ~ ~ <br /> IBS G"L /S i7 /~C7 ~'!2 ~nvJ~tS/~ <br /> n n / ?6 i2 ~ E r~ <br /> /..1 <br /> .S s ~li.6s~E <br /> APPROVED: ,,/7~'/ <br /> Project Manager Date 7 <br /> Principal Engineer Date ~ <br /> Facilities Manag Ir. - , Date - <br /> City Engineer-,~~~~ Date Z • <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ <br /> ~551~~r `~3`I ~ 3~ C.nO~.KoC.bc. q' S I <br /> ~ <br /> Capital Project No. ACK <br /> 11 , t 4~ <br /> GL Title ~ Mm~JLl~..>t r w a~ <br /> A •i~ <br /> Assigne y Date <br /> i <br /> Accounting by Date ! <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 C NO S~D~~ ~/~r~~ <br /> ,File Request Form ` ~Et <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Fle GOLDENROD /Project Manager JANUARY 2000 <br /> <br />