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• r <br /> <br /> ' ~ L. ;1 <br /> PROxJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ` ~ ~ ~ ~ ~ M ~ jE(L City of Eugene <br /> /1 „ ? 244 E. Broadway <br /> f~~ Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: `rR1Y''"J~ t- I'~'~ ~~~~"'~"!"r~ sID.~P6 ?GL?JC ~JE <br /> Project title: ~fs~r-~?-~~f PI"w~w1`~/~~`~`~' f [>-~-~I~I ,~l~R~~~ f~r~b~5 ~'1~CA~~ <br /> Project manager /contact /private engineer: Nrf`'~f`~'~'~~ <br /> PROJECT SCOPE: <br /> Paving:.~A~T f ' Bike lanes /paths: 11 <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building constn~ction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City t/ Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPT N: <br /> try kiTl~f=-A L~S'i" l'T~~~~ y~ Pl~o J~-r `i"~T~-~'S fin[ ~TtA~~ ~i~tl ~-TS <br /> ~ ~ Cap e c.~ ~o <br /> ~ ot- ~ S ~ i ~s ~Triwu~--~~ c~~s ~~.r~t. <br /> APPROVED: <br /> ~rL ~,aJ 2.c,'zi <br /> Project Manager Date <br /> Principal Engineer Date ~ ~ <br /> Facilities Manage Date <br /> City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ y 1. ACK ~ ~33Z ~ ~~SL ~ ~ s~~ <br /> GL Title f ~ z Y I Q.{'1 ~ 2 ~ 2 g~ <br /> Assigned y Date g` ~ <br /> Accounting by 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 ? Map <br /> ? File Request Form <br /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />