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___ _ __ <br />.. ,: w , <br />' `PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />y~ ;,° City of Eugene <br />~ `~ '~ "~ 244 E. Broadway <br />_ y ; ;' ' Eugene, OR 97401 <br />_ , ~ ~R ~ (541) 682-5560 <br />Service ID: • "' _ SID •~ PB ~GL ~ JC ~~ JE ~~,=~ ~` <br />Project title: ~ ~``' ~ ~ , - ~ '~ <br />(location and work description) <br />~ i 1 '-~ l° <br />Project manager !contact /private engineer. ._~ . <br />PROJECT SCOPE: <br />Paving: ~ - ~ ~' ~ Bike lanes /paths: <br />(widths) ~ (width) <br />Concrete walks: ~~ Setback / Curbside <br />(length) (width) <br />Sanitary sewer .l~''~=T~_- , Storm sewer Landscaping <br />Signal Street lights < ROW required <br />New building construction Planning, other Remodel <br />/"GIN 2~7k... <br />City' j ~ Assessments ~ ` r~_ Private Other department <br />,~ - ~ ~ ~ , , ~ - - Account code <br />t- <br />Fed /State /County /FAA ~ ~ ~~~ • (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL ORK DESCRIPTION: <br />i is <br />. ' <br /> <br />APPROVED: <br />Project Manager ~~ ~ ~~ ~' ~' Date ,~' _..~~~ -~. <br />Principal Enginee- J'~!--~~~~ = 1 , Date ~ a i ~ ~--- <br />Facilities ManageC. - Date <br />•r' ' / <br />City Engineer ~''/~a.~'!~" ~ Date /` '~ ' ' <br />FOR USE BY ADMINISTRATION ONLY <br />~, <br />Capital Project No. ~` -, <br />7 ? •1 <br />GL Title -~t-ice-(~ d'~- ~ `-° t ~ ! <br />Assigned by <br />,, <br />Date , / ~ , !. • ..~. <br />Accounting by <br />f_ •~ -y .. <br />Date ~ <br />ATTACHMENTS: <br />~] Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <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 />