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r - 4r <br /> Y `~~ROJECT~AUTHORiZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ (541) 682-5560 <br /> Service ID: ~ ~ SID~ PB J~ GL ~JC r JE~ / <br /> Project title: ~ t z ~a ~ ~ ~ , ` ?-ct, ~ c:_.t-.. 'l> ~ a <br /> (location and xrork description) <br /> _ <br /> Project manager /contact /private engineer: ~ 1 s gyp" <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: <br /> City Assessments Private Other department <br /> Account code <br /> Fed / H 'tom ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a`+. ~ 'ac ~ ~ 2! .s~ a~ 1 ~ ti. ~ \ Jv..l "S" JrL. , wl ''C , fs ~ `y ~u > c;.. s y ~ t'~~ } <br /> _ ~ ~ <br /> ti ~ ~ V ~ 7, a' "tit ~ ('2. f~"~..a ~ ~L ~7 t ~'k 1 _ _ <br /> APPROVED: <br /> Project Manager 6a4e ~ ~ <br /> Principal Engineer ~ Date 1 ~ G - t <br /> Facilities Manager Date <br /> City Engineer ~ - Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~-~~G'G)ri{ ACK q~~"/ ~'k Xx ~ ~~U~ <br /> <br /> ti`/ v GL Title f~r r1Ct ~'Yl - . <br /> Assigned by ~ ^ Date ~ fJ'T <br /> Date <br /> Accounting by <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> j ? 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 />