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<br /> ~ i w° <br /> ' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> f City of Eugene <br /> { <br /> ~ f~j N ~ N~~ f~;'t J y' 244 E. Broadway <br /> Eugene> OR 97401 <br /> r / / (541) 682-5560 <br /> Service ID: E M SID PB f GL f JC ? JE <br /> Project title: C--"'E ~r G` 1--`11~-j ~i ~ ,k' ~:..;E'~..t`~~ I <br /> (location and work description) <br /> Project manager /contact /private engineer: r...! ~ I I~ ~ l <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> penyrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City f Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a ~ t c: ! , i J ~G, <br /> ~ ti,, c' 1 ~ 4~, ~ a <br /> I , <br /> APPROVED: _ <br /> Project Manager ~ ~ Date ~ ~ ~ <br /> Principal Engineer ' ( Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ! ~ ACK ~ ~ ' / ~ ~3 ' l~ % ~ ~ ~ t - r <br /> GL Title /r~~~E'/,nie ~X~rntior, ~/ilnninG <br /> Assigned by r ~Jl k on Date 3~f~~o ~ <br /> Accounting by f f 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 />