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f _ I <br /> i~~ <br /> <br /> . ~ Engineering <br /> i~I~OJECT AUTHORIZATION FORM Public Works <br /> wr'' City of Eugene <br /> f-~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ,r r (541) 682-5560 <br /> ~t.'~ <br /> Service ID: ~ CC h SID ~ PB ~ GL JC ~ JE <br /> Project title: ~t t~" F ~1 t;-yt~ l~~Yt ~'t~~:~~~t<; }C,;.~~ ~t..i'~ ~~z~~ ~vV~Vt`1 <br /> (location and work description) <br /> 1 <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SQURCES: ' <br /> City ~'r~" Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> C MMENTS /SPECIAL PROJECT INFO. / NTERDEPART ENTAL WOR DES RIPTION: <br /> ~l ~~,ta 6~ ~ I 6 ~~vt ~Ilj I ~ r i tAJ (,~t I a r::.r C~ ~ n t,.. I~ <br /> Nip" i~'~ _F?lL~a "L+. !j spa .'t3 u.. t ti ` % ~t <br /> ' i ~ s.P,_ ~t:.ra i' ~ z~' ~ tfil W Y~v ° ' r C <br /> i <br /> APPROVED: 1 ; <br /> i Date <br /> Project Manager <br /> Principal Engineer r" ~ ~ ~ Date ~ ' j <br /> Facilities Manage Date <br /> City Engineer'``' `r, r , Date%'l_:~ <br /> ' FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. <br /> GL Title ~ ~ <br /> Assigned by Date <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 ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />