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i <br /> <br /> °"~„-R»s <br /> ~P~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> !Service ID: ~ 7 7 <br /> .39'" A y~NUE GoyP~ E,r S%n 1~,~ t~1~'~,4~. <br /> Project title: <br /> ~ (location end work description) <br /> Sit .n~ ~ ~ TO ~G' ~tri <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widdrs) (width) <br /> Concrete walks: Setback /Curbside <br /> QengM) (width) <br /> Sanitary sewer Storm sewer yES' Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City X Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> it/~~¢T~"' ~-~fC/~ ~LGY'CT /S '~~~'Cl <br /> ~~li~~e-P~L~S~/C1t/ L?F <br /> „~.s I~S~~t l'i1 h'y ;~E ~%'S' Ck'~'i~i/E.F' ~.cc,~i?,-~ ~ GL,~C~C P~cPGSs.~ <br /> fTiit~ <br /> I/.~r115 K%7/r7G~~1/ ~fS T~Gj 3~9 ~ Al~~ifL?~ ~.`:/~1~L. ~ ~if'~ <br /> APPROVED: <br /> Project Manager Date ~ 7 <br /> 'Principal Engineer Date <br /> r Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> j Capital Project No. ACK <br /> GL Title <br /> i <br /> Assigned by Date <br /> ~ Accounting by Date <br /> I 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 /France YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />