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1 PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> :1 <br /> City of Eugene <br /> <br /> - 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ , - ~ ~ ~ ~ (541) 682-5560 <br /> Service ID: ~ SID PB GL JC JE _ <br /> Project title: (~`t~ YIE~v~J ~I I°= T`~ t~'~JI~4it,1-I IId+ ",€d`V`t~1!~/~.~ <br /> Qocation and work descri ion) 1 <br /> Project manager /contact /private engineer: Vii? N~ ~ r`~ ~+A <br /> PROJECT SCOPE: <br /> Paving: ~~~i ~ ~ ~di~ ~ ~ I Bike lanes /paths: <br /> (widrns) (width) <br /> Concrete walks: Setback /Curbside <br /> (ienarn) (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 /> 1 <br /> Fed / State L Cc,~~it„~,/,~ ~ fixed) <br /> . <br /> COMMENTS /SPECIAL PRO CT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~~i,il,l~r I ~tll'~-i l ~~11 ~~~~`'~I-r ~ ~ ~-"QI'~ OP~''-'~ <br /> ~ APPROVED: ~~~~1, C'~ <br /> Project Manager ~ ~ ~ Dat2'tiJ~ <br /> Principal Engineer ~ ~ ~ Date ~ ~ <br /> Facilities Manager r Date <br /> City Engineer' ~ r ~ Date - <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK (~.a~ q~~~ LeKxx~c q~'~1 o q~-! <br /> T <br /> GL Title 1 ~ P ~1 <br /> Assigne by Date ~ <br /> Accounting by ~ ~ Date ' \ i ` <br /> ATTACHMENTS: <br /> ~j Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~1+ SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? Ciry 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 /> i` Y~~° <br /> <br />