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•..,:Y - r, y.'~1 .y ~ i+'^~:i~=, r:: (iff1 x .+~w. .r.. "'^iy u,ur:• q q.. .x.. <br /> <br /> ' ~ • <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> ~ <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ g SID~PB GL ~ JC ~ JE _ <br /> ~ fin. _ <br /> Project title: ~-~?~'r L.R rv R ~ r~ f ~ r ~ c~_~-,~-~-~~ t~.r <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ + t~ti r~ ~ ~ nl U <br /> PROJECT SCOPE: <br /> Paving: Q~ ~ etiln Ytf1 ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (iengrn) (widtn) <br /> Sanitary sewer• 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 +r Bff"- t~ <br /> Account code <br /> Fed /State / Counryd FAA) /d~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> d <br /> e ~s-o~b <br /> , - <br /> APPROVED: <br /> Project Manager Date ~ ~ $'U~ <br /> ,,P~ifn i ~~jjl~~E~~eer Date <br /> ~.Rt?i~~!!IlVlanager%__ Date • Z7 <br /> City Engineer Date Q ~~~"'L?~--•- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Pro!ject~•N-o.~~~~~-~ ~ ACK ~j~r'7 ~~'X'k. <br /> GL Title .,f3r f y " e / mil' 2r v m+-s <br /> Assigned y 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 /> ? Ciry 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 />