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a~ <br /> e~~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> <br /> ~ Public Works <br /> f'" City of Eugene <br /> ff , r,~, ,,,,Y,V,,,~,,,.. 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~y ~ l.:.w ~ (541) 682-5560 <br /> Service ID: ~ SID PB GL''_ JC JE f <br /> t <br /> Project title: ~ 'i ~ ~ 1 ' j t,~ f`~ F,r !t~ ~ ~ / r ; ; ~ + ~ : L' / L / l ~ ~i <br /> (location artd worx descri Lion) <br /> Project manager /contact /private engineer: -u- l ; ~ ` 4 ~ t: i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: %`~~/'f <br /> (Wiarns/ (widrn) <br /> Concrete walks: Setback /Curbside d/ ! 1 <br /> (~er~rn/ n <br /> Sanitary sewer Storm sewer / Landscaping ~ <br /> Signal Street lights ROW required i CJ <br /> New building construction_ ~1/>~ Planning, other i Remodel tUl <br /> FUNDI G SOURCES: <br /> City ~ Assessments Private Other depastrtient <br /> ! Account code <br /> J r <br /> Fed /State /County /FAA fixed) <br /> . COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> j APPROVED: ~ / <br /> I xr~ T ~ ~ 1 4 <br /> Project Manager ~ - Date <br /> Principal Engineer T ~ F''~~ Date 1' - j r~ <br /> Facilities Manager ~ Date <br /> , <br /> City Engineer ~'`F ~ ` Date `:r~',• `L. <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ACK ~ ~x y~' ~nv~ <br /> GL Title ~"~~±11~1~.v :~_t1~,4_~,fr~t.,~r~~at~~~ ~'",~dC. <br /> ~ ~ i ( t5 Date <br /> ' L` ~ 3. r ~a <br /> j Assigned by <br /> i Accounting by Date 1 <br /> ATTACHMENTS: <br /> . Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> r} ? 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 /> ~t ~,rf~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> .~a ~`v <br /> t,~ , <br /> <br />