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~~"l <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> . ' Ciiy of Eugene <br /> ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ ~ SID ~PB ~GL ~ JC ~E _ X541) 682-5560 <br /> Project title: ~ r v r ~ ~ . ~e ~ , N', ~ << ~ ~ ~ri ~ ~ ~ : ; r C <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ t, ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (gin) <br /> Concrete walks: Setback /Curbside <br /> > (length) b (width) <br /> Sanitary sewer `-~--j'.-~~' ~ 9 y~~Storm sewer Landscaping <br /> Signal Street lights ~ ACW required-= <br /> r' <br /> New building construction Planning, other Remodel ` ,k ~~,F~ <br /> F ING SOURCES: <br /> CI ~ ~ ' ~ Assessments u Private Other department <br /> t <br /> , ^ <br /> ~ ~~f ~ ~l'~ I ~ ~ ~~P~ ~~R ~nt code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> : i ~ j ~ ~ t ~a ~ i f , l~'t i -ice l ~ ~ <br /> ,J.,= 'i9 li ' .Y~ S" fY, L It ~ <br /> APPROVED: <br /> .f <br /> Project Manager ) ~ ~ - ' Date ~ <br /> Principal Engineer ,~~''1'!S'd~dX~ - Date <br /> Facilities Manager Date <br /> City Engineer Y r ~ ` ' Date l ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~2,.'S ACK ~ ~ ~ X X X x -1~ ~ ~ <br /> GLTitle ~~IY O~ 111 y ~:,,1 ~f1 .t-'tA.?''n~~ ~'~"Gt ~Y~'1 ~r"' <br /> Assigned b~/ ~ Date ~ ~o <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ©'Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> G~''SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's initiating Order ? Public Improvement Permit Application .C~ Map <br /> ~ Fite Request Form <br /> <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> . <br /> .c <br /> - - - <br /> <br />