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r,; <br /> i, <br /> 't <br /> <br /> ~',~`~~,j., Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> ~ ~ tt f~ ~ City of Eugene <br /> ~ { f ¢ 4`~ / l : f ` - 244 E. Broadway <br /> Eugene, OR 97401 <br /> fi ~ ~ (541) 682-5560 <br /> Service ID: ~ SID_ PB - GL , JC _ JE <br /> 7 <br /> Project title: I r 1 ~ `r° ~ ~ ~M'I r,' i r J r ~ i r~~~c~ ~ t~ k'~ r.- K,> 'r ' <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: ' ' Bike lanes /paths: ~ <br /> (widths) (w;dtn) <br /> Concrete walks: ~ ' Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer ' G~ Landscaping <br /> Signal t`~,' t Street lights ROW required "~:'C--' <br /> New building construction Planning, other 1~-` i Remodel ~ r)~,.% <br /> FUNDING SOURCES: <br /> City ' r;.~.~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMEN~,T /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTIC}N: <br /> -y <E f',, ~ ~ <br /> ~ c <br /> i'. !4 ~r i} 't i~ i.-l. i, "'rte 1.~ 1 ~ ~ ~ ~ <br /> ~ ! r <br /> f ~ ~ ' <br /> 1 ~ <br /> APPROVED: , <br /> Project Manager- .-'^~;a, r ~ t" / ~ ~ (C_ Date 4",~ ~_i <br /> Principal Engineer ' Date ~ ~ ~ C• t <br /> Facilities Manager Date <br /> City Engineer f Date ~ ~ / <br /> FOR USE BY ADMINISTRATION ONLY <br /> _ _ <br /> Capital Project No. (/~~,rlly ACK `3'~3~.Z X.~CXrC 1~ ~i/1 SC%`-l~r:' <br /> GL Title - ~ ~ /°a f) ~ r/ ~1 ~ /Nl~l~!//t/It/ rV, <br /> Assigned by ~~G/- ~~W Date <br /> v <br /> Accounting by Date <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 ~I Map <br /> ~~I File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~ , <br /> <br />