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<br /> a 7 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> t-~''~~' Eugene, OR 97401 <br /> / , / (541) 682-5560 <br /> Service ID: ' ~i SID ~ PB ? GL JC V JE" <br /> Project title: ~l~l -~~,~I~l ~'~?r'l (~G-(~fF . L~Z~,~ (j~~ ~ ~ ~~,t ~L ~ .~.i { ~ 1 ~~,1 <br /> (1 ron and work description) <br /> ~ ti~lA ~ ~-C~~,.~~ ~ 7 ~ f r ~ k=- t <br /> ~ l1`_`1>ti "t # tit ~ ' ti~ I ~ i ~-Z;; 1"-~_ _ <br /> 1 / t t 'y <br /> Project manager /contact /private engineer: L--A 't-hl ~J F_. 1 ~ ~ . F~~T= k -~i I tir' t !T <br /> PROJECT SCOPE: <br /> Paving: i ~ F~ ~ f~.'r <br /> . f~'11 t...- ~1~ Bike lanes /paths: ~ j (1 <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer r (C~ Storm sewer 1~. 1n Landscaping ` <br /> Signal ~ { ~ Street lights ~ ~ ROW required <br /> , <br /> New building construction h~ In Planning, other Remodel r` ((1 <br /> FUNDING SOURCES: <br /> Ci Assessments Private Other department <br /> Account code <br /> 1 <br /> Fed /State /County /FAA fixed) <br /> ` COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> - <br /> 1 ~ <br /> APPROVED: <br /> Project Manager ~.2-r ~-gJ ~ Date -ter '1-y', <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ' ~ ~ ' ACK - ` I.~ ' t ; j ~ <br /> G L Title f~rj ill ZGi! Gl ~i~/ds f <br /> ~~o~e ~ <br /> Assigned by Yt <br /> ~ yi ~ ~ ~ Date 3_TL~ <br /> Accounting by Date ~r <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 />