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I' <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> . . ~ ,-+f=/ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID of PB GL JC ~c`_ JE <br /> Project title: i:~ ' ~ w ` ¢ ~ ~ ' <br /> (location and work description) <br /> I <br /> Project manager /contact /private engineer: ~ ~ ~ ' k r" <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (widrn) <br /> (widths) <br /> Concrete walks: Setback /Curbside <br /> (ier~9t?4 (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ ~ ~`'j ~ ,,i ~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> /i z f ~ ~ `i!i ~~V` ~'l<al f~ ~ `f-rr'Il'" rt i .I-: ~ i <br /> i <br /> e <br /> APPROVED: <br /> Project Manager ~ c ~;;~.~".~~.~i- Date l~ " f' r ~ ] ` <br /> Principal Engineer Date <br /> Facilities Manager ~ Date <br /> f City Engineer " Date ~ - / ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> rl~,~~'~~ ACK ~~%3~~ .u XXIC X jr t._. ~ ~.:y: <br /> Capital Project No. <br /> i <br /> ~ GL Title ~ _ rat rv~ (i L~r~ ~ e_" • r ~ c~ fiu r~, <br /> , <br /> . ~ / r Date 4~ ~ 1 E.-~ <br /> Assigned by ' ' <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <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 /> ENG 415 WHITE !Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~t <br /> <br />