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• r ~ I <br /> `1~ <br /> PRQ4IECT AUTHORIZATION FORM Engineering l <br /> Public Works <br /> 1 <br /> <br /> ` f ~ j~(~ City of Eugene <br /> 11 V 244 E. Broadway <br /> H-~- Eugene, OR 97401 <br /> l/l,~ . / (541) 682-5560 <br /> Service ID: `r Rt~~"u'J~S~ t n I'~~'~~,t~~~~s~.~~""~'"~'~~p S~IDe~~~,P/B, n <br /> ,~GL~ JC ~ JE _ <br /> Project title: ~~~`+`W""'~ PI"1o7w1"~'' 1 ~r~-m~'l - V~1"~~S 17~a~ , <br /> Project manager /contact /private engineer. ~~Wr'I"t' (~~f`~'~ 1~ <br /> PROJECT SCOPE: <br /> Paving: ~AzIT ~~A t Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (~h) (1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SO}~RCES: <br /> City Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPT N: <br /> kT f=-A Lts'f" LT~N~t~ )P~-'~ P~ J~ T~T~ ~TIA'c_ Ri~l ~?Gfi-rS <br /> a ~ Cc~ © e W ~ P <br /> D !-J s ~ ~ ps ~TtwtM~.s~ ~"tS cav~.Pt- ~Tt~- <br /> APPROVED: <br /> Id. tto~ It.ey'~ <br /> Project Manager Date <br /> Principal Engineer Oate ~ j _ D <br /> Facilities Manage Date <br /> City Engineer Date w ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~ ~ ~3 ~Z ~ <br /> GL Title <br /> Assigned y Date /~/1 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 Engineers Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE / Fnarx;e YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> i1-1~-03AC7~2& RCVD <br /> <br />