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<br /> by , <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ ~ii $ID! PB ~ GL''~`` JC ~ JE _ _ <br /> Project title: %~r- ~.r ~ ~ j1 ' ~ ~ eA ,r 7_(~~ti-'+,,.l~c.« ~ ~ 1°'o r~ r~-1 - ax <br /> (location and work d ription) ii <br /> Project manager /contact /private engineer: G s'~~1 ~ ~ <br /> PROJECT SCOPE; <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Sanitary sewer Storm sewer,,,, ~ - 6 ~,t`La dscaping "~K,~ <br /> Signal Street lights ROW required r~j~~ ~s* <br /> New building construction Planning, other Remodel <br /> FUNDING SOUR(CES: <br /> City ~ ~ 'tv~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMI~N7S /SPECIAL PROJECT INF . / <br /> I~f <br /> ,TERDEPARTMENTAL WORK DESCRIPTI N: <br /> r 1 , a <br /> ' C <br /> 1 ~ ~ <br /> APPROVED: I`"' _ <br /> Project Manager Date - ~ <br /> ~ ~ ~ <br /> Principal Engineer _ Date- j ~ <br /> Facilities Manager - ~ Date <br /> City Engineer - ~i-• 1 Date ~-1~~/-~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No` -'q ACK ~ ~ 3~ l 6KXX~(, "1 <br /> GL Title ~.~~~-~C~l~'1!~ i 1 Y i ~,~tA~`Ct~ ~0'"Y~~i'•1/Y1~/("T" <br /> Assigned b / '~~'ti-.,-°. Date ~~l ~/'Q~ <br /> Accounting by Date <br /> ATTACHMENTS: T t ~4' ~7 G,.~ <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 /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />