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'+~y <br /> <br /> . M~• r,~~ ~ / ~ <br /> ~ <br /> ' ~ ~ 11rf <br /> ' `PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ G <br /> f ~ f / (541) 682-5560 <br /> Service ID: ` 1 . / y ~ SID PB ~1'J_ GL ~ JC JE _ <br /> Project title:. ~Ol.~.,r` W'~I S t~ V?,~T~-1J~,~,46 <~/~4 ~rt7,~ ~ -a, 1f~~ ~ 1~F+ ~,q~ r ~J.,S <br /> (location and work description) J <br /> Project manage /contact /private engineer: -LJ ~ C ~ Es <br /> PROJECT SCOPE: <br /> Paving: Bike lanes !paths: <br /> (widrns) (width) <br /> Concrete walks: Setback /Curbside <br /> (iengrn/ (widrn) <br /> Sanitary sewer ~O(~ 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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> f5 C <br /> IL 14 M r ~ <br /> `~c.a 1~. ~ ~ <br /> 1 ~ jt A <br /> ~ ~ t~~ <br /> . a <br /> APPROVED: ~ ? ~ e~ <br /> Project Manager f Date b <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Enginee Date-'>lz~U aC <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ) ~ ACK ~ _I 3~~ ~ (~X~'x',~~ <br /> GL Title ~ ~ ~ hC~ ~ ~G~~ .v j~ I?~c{.S! YIDS <br /> Assigned k~ Date <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 <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />