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f <br /> e, <br /> <br /> •K~' PROJECT AUTHORIZATION FORM ? PublcWor9 <br /> ~~~s - <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ` (541) 682-5560 <br /> Service ID: ~ SID_ PB v GL'~~ JC JE ~ <br /> r~~ i <br /> Project title: .t! ~ L=- ~ I`""_c~ i°+ ti~ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~dt~ i ~~'rJh".-Co[~ <br /> PROJECT SCOPE: /dtl~ U~"i',e,. ~~T~)~ t~l'~-t I'= L E`C.~Tf~{ ~~y j~ <br /> Paving: 35p' Gr T ~ ~ % Bike lanes /paths: (widrn) <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: <br /> City Assessments Private Other department <br /> j-Tp v~,q-r~y~, r / Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T U lir..E Fv Iy ~ ~ Ly 1 ~ o <br /> Crd~ps r~r' ~ t~i nt ~ ~M <br /> T <br /> f ~y r` <br /> t. ! ''4e?Ty°, Tj : ~P.1 ~ j L'Y 1' L 1'~4 f~ S~t ~ ~'1U S ~ r <br /> 1 ~ <br /> Ct ~ ~ t r t t <br /> APPROVED: j <br /> Project Manager Date ~ ~ 7i ~ ` <br /> Principal Engineer Date ~ <br /> Facilities Manager ~ Date <br /> City Engineer .~.~tdL' Ic Date i <br /> -r <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No\. ~/~f.)'~~~' ACK ~ / `/.'J~.4- (r ,X X I/`.%1~ <br /> GL Title `jJ t ~ ~ ~ <br /> t t<'~C' : 1'l !1 l~'r~ ~ ~ 1-s~ t - <br /> , <br /> Assigned by ~ ~~.f.G<t Date s / / <br /> 1 ~ ~ ~l <br /> Accounting by t Date ~c <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~j 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 />