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<br /> . . ~ ~ <br /> f a~ <br /> ' PROJECT AUTHORIZATION FORM Engineering <br /> t- Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> #~E Eugene, OR 97401 <br /> Service ID: F ~ SID PB ~GL ~ JC ~ JE _ X541) 682-5560 <br /> t~I <br /> Project title: ~.•~~t--'i17.~ /c.%j f'~I$t~.. ~yjiYii'f-~~?r1^61~ <br /> (location a work description) f <br /> Project manager /contact /private engineer: ~ . L.Ju LZ. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ (~..I l.'r;.~.~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> P ~ ~ ~ t 4 + 'c' i <br /> "d t fit. U Yl `~-a.~ ~ ~ <br /> . ~ Y'~y 1'. Y I r b <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> Ciry Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~ ~ ~ XXX X Q 5'D~ <br /> GL Title ~f ~ f Y U I ~F. ~'~~:~Y~ d ~~Y/ <br /> gsslgned by Pr 'f ~ ~ ~ ~ j+Y Date ~ /n~../ <br /> A <br /> c~t'~mtln'r ^ ~ l~ 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 / ProJJject Manager JANUARY 2000 <br /> y' c~ 1/ <br /> <br />