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_ ~ , <br /> Engineering „A <br /> PROJECT AUTHORIZATION FORM Public Works <br /> /1~,~',.~~~e' City of Eugene <br /> C~~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> p (541) 682-5560 <br /> Service ID: yD~b SID °i~PB- <br /> `r GL JC JE ~~I <br /> Project title: "~-~nt~"..' ~~NCJ1..~-~'~1'~C/~4`1"/T;~rfr/rn~1~~~.-,./.?~/~~.Lcly?~,~" f°'?~ y~L"7~L.~~.1, <br /> (location and work des 'pt C' 1 J~ i r~~~~-T"' !i'~- Y Gr'~"~'IC' //f r/t <br /> Project manager /contact /private engineer: ~-1 ~ <br /> PROJECT SCOPE: `~~T ~T~'2~f l~~ 7~(.~ ~ <br /> `E-' 1~..- N/l~c'~' <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal ~ Street lights. „ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~~y ~ bra ° <br /> City ~ ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> G-~kN~L~I ~Srf'~' ! ~ 1~~~3~"~--`/ ~4 IZ t~rGR~-~ , U/S(C~~VE`LL~ ~J l~ <br /> A Lc~T~-i!2~ ~r c'~J <br /> if 1// 1 ~~'~C ~i ? Al. <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~3~g~7~ <br /> Capital Project No. ~35`7a`~ ACK ~a t q3~s" ~xXX X ~ <br /> GL Title Cry AN 17L E U ti NT P.A~ k <br /> Assigned by Date ' ~ <br /> r. <br /> Accounting by ~ rJ ~ Date ~ v! ~ ~ ~ <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 /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 1000 <br /> ~p~ <br /> <br /> Y ~ I <br /> <br />