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r-c.~: --z:~ - ,,,,,s.,.,::,,,.. ..sic®_='r ~..;t;y4~-,.:t,.Ft-~^~.....r...f~ww- ~ . s- <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> `1 ' ` 244 E. Broadway <br /> ~ 1/~0\ 54 <br /> e 6820- <br /> 560401 <br /> ~ a <br /> t~I,~Service ID: ~i~ SID~PB ~GL _ JC JE <br /> r~ ~ ~>y A ' ~a~ ~~-~°h1 Ta ~?~l•lM,.~7 y~?'~,-~~ ~M-' S~z~yATt~ <br /> Project title ) <br /> J (location and work descri lion) <br /> <br /> J <br /> Project manager /contact /private engineer: ~t'V <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> pergrn) ~widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ S~ ~om lu ~ ~33a7 l ~ 73S 9 75G/ ~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: M <br /> S ~l„~ ~ Y lCril. V ~ ~ S r~.ot U/.I ~ b r " 1'~® ~ c. <br /> l ~ t Tt r.~.l /t(.~ ~ ~ c n~ C- Ua ~l ~ ~--~'s)( <br /> APPROVED: <br /> Project Manag~r n Date7~ ~°i°~ <br /> Principal Engineer ~ Date ' ~ ~ <br /> Facilities Manager Date <br /> City Engineer Dated `1`` <br /> Q't FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ~ ACK (3~ 9 .~L, ]~1<X ~ u <br /> d. <br /> GL Title / t~/J,rl.~,~Ve, ~G l-Ivllo - L)nlc~ <br /> Assigne by Date ~ _ <br /> Accounting by Date <br /> f <br /> TTACHMENTS: <br /> ~j 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 />