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{~'ROJECT AUTHORIZATION FORM 11'~ Engineering <br /> E Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> e Eugene, OR 97401 _ <br /> Service ID: ~ ~ V (541) 682-5560 <br /> SID t' PB _ GL JC JE _ <br /> Project title: `~~aw~l~/,~~~~ ~ `~y i i t ~ r. ~'~=.~s~! ,~ti ~ ~m/~'(!~~ <br /> (locarron and work d prion) <br /> Project manager /contact /private engineer: 7~ ~Fk l.1 ~r`~ ~ tn~ <br /> PROJECT SCOPE: <br /> Paving: °A' ~~i f~,~..an rF. ~~na x1 t~C ~'~~~lt~ Itili j'j`i <br /> Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> oengrn) (widrn/ <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 /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> y ,,}l,t~i~ ; ~ 1 ~ e . ~ i ~ C' ~'U t ~~1 ~ C;~' 9.F~ h~. nr. t ~ <br /> / <br /> APPROVED: - I %r. <br /> Project Manager ~ ' Dat' <br /> Principal Engineer ~ ` Date r ~ - ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> j~] FOR~UfSE BY ADMINISTRATION ONLY ~-y <br /> Capital Project No. ~ ~ "~1 ACK ~ ~ ~ ~IXzXV - ! ~ <br /> <br /> ~ GL Title ~~F"'' ~~~1..6'r1~'JC.t r~-~-~-*, ~ <br /> Assigned y ~ Date ~ <br /> Accounting y 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,~l Map <br /> ? File Request Form <br /> ENG 4~1~5,, ` WHITE 1 Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> I~, i;~'° I"i'i, <br /> <br />