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k <br /> • t N <br /> 3: ~ ' Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> <br /> c <br /> City of Eugene <br /> tti'"~ ~b _.i-""` 244 E. Broadway <br /> f.(~ ~ Eugene, OR 97401 <br /> (541)682-5560 <br /> f <br /> Service ID: ~ SID PB GL ~ JC JE r`~ <br /> a.\ Y ) i..1 ~ fit i ~ 1 1 . ! i , ~i J : _ t ,.J 4 4_ <br /> Project title: ~ k~ - ~t ~ , ~ ~ ~ .1' t , <br /> (location and work description) _ <br /> l.. ~ Y.. 4")G, 1"~ ~ ~ 141 ~ \.i r.? ~ k ~ 1 : Iti 1 <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Ra~9* i - ~ C; , r ~ r t ~ ~ t i ; ~ • r~ e' Bike lanes /paths: <br /> (widt s) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewtar „~:'`t' l~ Landscaping - <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City t.. t t"' ~~'=i Assessments Private Other department <br /> Account code <br /> j Fed /State /County /FAA fixed) <br /> I COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> S t l Y1 t t.. l t i.J'~:. "1 l ~ ~ ~ L-'~ t"' rb Li S~' iif' i] v~ t r r° a r c{ I s P <br /> _ . <br /> ,r. f * ~ j <br /> [ ~•f Y'r..w _!y 1~;, , ~ Is.. t a 1 ~i l~ Id 16~r~ t-}esr~-spry I`~e ct ;~a,~,~ i` i .3 '1 <br /> i ~ 4, ~ z 5 i N ~ ,C; u f :a~ 4 ~ ~ C' r-~I ~l.F , f„ , Mw, r C xi ~ ~,y ~ ~ [ ~ x1, ,•t - c S 1. 'y 9 <br /> •~"''f ° L~ f' ~ \ ti,...JC~ d ~[5 rrY'1i.~~~ r"' r1 etad."rv~ <br /> 1..~ ~ i r <br /> ~TT'' <br /> i <br /> 1 APPROVED: J-~` ~ ~ <br /> Project Manager --°~rl ; ~ Date ' <br /> j Principal Engineer ~ Date ~ ~ ~ , t - <br /> I Facilities Manager f Date <br /> City Engineer Date ; <br /> I <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> I <br /> Capital Project No. ~ ~ ACK~ P~ i % t l(~• <br /> i <br /> _ <br /> GL Title ~'~wr i;N~? ~i 1y1-~ I"t1"y(~ i ~~+~u.ft <br /> Assigned by ~ :x ~r1 Date ~ 1 I_i ~ L <br /> E Accounting by i ~~-'`til f I Date y ~ I ~ ~ <br /> I <br /> E <br /> AT~4CHMENTS: <br /> Q' Widget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> $DC Budget Worksheet ? Engineering Agreement ? kngineering Service Work Request <br /> Ity Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> L'~ File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />