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_ _ <br /> . a: _ ~ y , w,. <br /> .r ~ I. <br /> <br /> ~ j ..a R <br /> "~~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> r City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: a--"E~ SID~LPB ~GL J~JC JE~1_ <br /> Project title: r.~.~ 1..~~4 ~ ~ `C`_? ~ ~ ~ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~,~=df t ~ 11~ h <br /> pl,,~ <br /> PROJECT SCOPE:IN~lA~t~~, ~F'~.a~.~DV~fw ,TM.r!Jd RE...a1~G:~r~;~"~~it}w,.3 .yDP,k, <br /> U I.d ~>!!:Q_'L' A K ti~f t T ~ ~ LM ~S ~ ~'U O ~ . <br /> Paving: (~an,5~ Bike lanes /paths: lw~n! <br /> Concrete walks: Setback /Curbside <br /> llan9rnJ (widtn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~1~ uva't ~ <br /> ~ . i 7~'r ~~i~ <br /> City ti' j Ass2ssm~nts Private Other department <br /> ~j Account code <br /> , <br /> Fed /State /County /FAA ~l~ } j t ' j fixe <br /> a.._ <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> w~ E ~ ~ r`.1 '~\C t L.,t.._ t`.Y P'~i?.! ~ t~ ~ 14Z Ii?`t"t fr: <br /> t~-`ti~'O i2 fem. <br /> Y~~~°W"'~Aa ~'"E'S ia.1 b ~ T'Ft-~4'T" i ~ s ~ L`' ~.V 1 °j"~A• ~,t..M ~ s.. ~'JG. I t~1~ <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ t <br /> Principal Engineers Date ' / <br /> Facilities Manager Date <br /> City Engineers. Date ~ 2~ !o <br /> FOR USE BY ADMI IS RATION ONLY <br /> Capital Project No. ~ ~ ACK ~ ~ ~ ~ / <br /> GL Title t,,,.' (J~"' ~ ~ ~j 1 <br /> Assigne by ~ ~ u` Date ~~~~:~SLLS ~ 1.~ <br /> -f---- <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 /> ? Giry 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 />