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i ~ , r. fS..t. "'•X~"W, ib i~-'r+ ~V..~:. .a r+ •''4irYi'~s"s'.n'.c.`. Y <br /> w <br /> r.. 1 <br /> ~ Engineering <br /> ''PROJECT AUTHORIZATION FORM ~ Public Works <br /> s, ~ A t? Yl G ~ "t~~.- I~t ~ ~ ~ City of Eugene <br /> f,, ( 244 E. Broadway <br /> ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> <br /> r Service ID: Z ~ ~ _ SID <br /> iL PB _ GL _ JC _ J~ <br /> Project title: z > ~ ~ . 4 r • r y~ =i-o y.-c rs..ar,~-r a.~.. a ..,R <br /> (locationarrdnvr,~descripfion) i ~ _ _ <br /> i~ ,~,T ~ t / +L~Cic. ~ .'ti r.a `a~ "x..... z'"~ ~ w ay. a.:i+ .~':"m` t. r.t ~.e ;~.1. , <br /> r.«. <br /> Project manager /contact /private engineer: • ~ . ~ ~ ~ a <br /> PROJECT SCOPE: <br /> f <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: fJ, ~ k <br /> ~ ~ ~ ~ y c-~~ ~ <br /> City <br /> : ~?~--Assessments Private Other department <br /> Account code <br /> Fed / 4-~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a 1 <br /> ,A~ ; ^R.. \ 1/Wt '4 ~ r \ C.~. w ~iy w. ~:7~ ~ d ~ 1 U~ M .p. p~,..~ <br /> y <br /> 1.Z ~ CJ :7 oir"~C` ~ ."....a1 t' cY :s`n. ~ ~ w `s ~ r+~ J r~ ~ p ~ ~ ~ <br /> k <br /> ~ ti ~ "i,"\t ~ t;~. L .x~c C"~ t.+.. ~v.? cL,..} c%Q :a`'7- \ v.+.~ . ~ t ~ .xrZ.~'. , <br /> -yt~..3 - +J... a.. 4 .r ti s1 c q J ~ 's 4s cad' ..a• "a ~ , r.,. r.~c k.. . s\'~ <br /> J k+ <br /> APPROVED: <br /> _ ~ <br /> Project Manager m-~-- - ,-t-.G .-.-...s,.-,:a.`. Date~~,"~ . ~ J <br /> Principal Engineer ! ~ 2t Date ~ ~ ~ <br /> Facilities Manager i Date _ <br /> City Engineer ~--•~~.r Date ' / ~ ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK 3 ~ ~ ~f 33 X X X K q~~`~Cf'fo'L ~ C+'~ J'1 <br /> GL Title { y ~.~~'~'"~h. ~.J~ t-~° 1 l~L~ ~ <br /> j <br /> Assigned y Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> \'B..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 />