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~ <br /> "'R <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: .j SID_ PB _ GL _ JC _ JE _ <br /> ~ <br /> Project title: •-~''c3/~~^~9 ~ ~ti~,~s L vtr~fC 4 ~~~y ~eC' ,,/~cc"~~~ ~ frt.,. ~X) ,r `r ~s <br /> (location work espi ' n) <br /> Project manager /contact /private engineer: ~ ~ - <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (widrn) <br /> Concrete walks: Setback /Curbside <br /> CXYI ngt~ (width) <br /> Sanitary sewer f Storm sewer Landscaping <br /> Signal Street tights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> ~ ~ - ~ t~''_._.:~ Account code <br /> Fed /State /County /FAA A fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~ ! tf 'Arw ~ f~1j/~I~sI ~ ~/,I ` ~5 / ?~V/~~ ~if~- !,n 3._ ~ ~ rr ~J.^r,n a`;, <br /> ),f,A Y) " ~rQ~ ?W 7f+C~ r?O d ..e~Ad d' I~iJ ~ ~ ~J ~C: <br /> i <br /> APPROVED: i / / <br /> Project Manager f Date ~ <br /> !-fir <br /> Principal Engineer Date 1.K'"~~ <br /> Facilities Manager Date <br /> City Engineer ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ' ,~J 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 /> - - r <br /> <br />