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~ <br /> <br /> • Engineering <br /> PROJECT AUTHORIZATION FORM . ~r-"""' Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ,,r ' ~ ~ ~ (541) 682-5560 <br /> Service ID: ~ SID PB _ GL _ JC V JE <br /> ~ 1"c Z7 p ~'rJ ~ A <br /> i ~c 1~- ~c.lA~ °d L^~ r~ ~ rr+~ 1 n e c ~ <br /> 4 <br /> 0 ~ ~ ~ t:_~_~ia'~ <br /> Project title: <br /> Qocation and work description) 1..~ <br /> Project manager /contact /private engineer: ~.'~r"~w t 1 yl ~~..s ~ ~..ae`~' ~ r `'l ~ t " ' ' ~ ~ ° <br /> PROJECT SCOPE: ~ ~tid.. 4` O~ ~ ~ u3 ~ tvcs r~-°,~ ° ~ ~1~ r rJ , `"T"Q D <br /> ~ ~?s~~ ~ 'u1F~q~R W a`~l 4~~~'a+c5?~c;.~ ~ p N t`~ca ?A~, Bike lanes /paths: <br /> (wrddr.!) (width) <br /> Concrete walks: Setback /Curbside <br /> (~engtn) (widtn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ q.~:~-~,,.. „~t <br /> City Assessments ~`3vzta4 J ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CO(~MMENTS / S_ PECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: p ~ <br /> H .t"Y~ PAS J ~ ~ j'1.L~ ~3 c tm' ~ I ~'~-i,) t <br /> .s ...y 1 Q ~f' ~ j ! fJtAJ' ~'(Jk C" r.! ~ (r `L. I~ 6t ~ ~ ~ Y( ~6, <br /> `~.~k::r N' v"4, E" ~ ~.`'r~ + y4 e" " h @' °"1 ~ ~^~Ci, ~ \ C ~7 s.7 y'd ! W ~ ~...t Z,. Y' C•~ ~ ~ s.. ~ <br /> Yf,R-\T I ~ ~ I v~ r y, ~ - i <br /> ~ <br /> APPROVED: , ~ <br /> , _ ( t~ Date ~C <br /> Project Manager ,r , <br /> Principal Engineer Date `i ~ ' " <br /> Facilities Manager Date <br /> ! i'. , _ ' r, ~ ~ r r Date ~ ' ~ G-' <br /> Ciry Engineer <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ rJfd ACK ~ ~i ~ ~ t~~X~ ~ ~~5~ <br /> GL Title ~ CJr ~''(~>~.-~-rt~ l'',L,}~ k'' 1A,X T f <br /> Assigne b Date <br /> Accounting by Date <br /> A ACHMENTS: <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 />