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~ <br /> M ?~'t , <br /> 'PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> <br /> r City of Eugene <br /> 244 E. Broadway <br /> r /'j~(.'t'~i;~' Eugene, OR 97401 _ <br /> ~q ~ (541) 682-5560 <br /> Service ID: ~ ~ ~ y SID PB ~ GL ~ JC ~ JE " i 1~ <br /> Project title I ~y w~ c..--'~". i C]~ <br /> (location and description) ~ ~ <br /> ~ Y ~ ~ ~ Y ~ U?r <br /> ,....-.._s-.... <br /> Project manager contact /private engineer. ~ K- G ~ I ~ 1 ~ ~ c~, S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer r~ 5~~ ~ ~ "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 /> ~ CJ, ~ <br /> ~ ~"t % d' Account code <br /> Fed /State /County /FAA fixed} <br /> CO MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: t <br /> S <br /> l~+i -.w~ <br /> APPROVED: f <br /> Project Manager ~ L Date ~ ~ i ~ ~ r <br /> Principal Engineer ~~~CQ~- if~~-'~"^^~ Date ~~'~T-~ <br /> Facilities Manager Date <br /> City Engineer ~ ~ Date / ~ ! ~ <br /> FOR USE BY ADMINISTRATIQN LY <br /> Capital Project No. ~~~©~S ACK 3~~"~- ~'~~}J°1 X~ x~ ~ 5 <br /> GL Title ~ ~ t~?i~r~lr'i<' ~ar+~u~ v V ti <br /> v\ tJ I <br /> Assigned by ~ ' ` { ~ Date-- <br /> ~T <br /> f~LL) <br /> Accounting by / J Date /Ql~ <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 2000 <br /> <br />