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. / <br /> <br /> ' ' V t <br /> I! ~ <br /> • I PIROJECT AUTHORIZATION FORM Engineering - <br /> Public Works ~ <br /> I <br /> City of Eugene <br /> 244 E. Broadway <br /> li , / / ~~~rrr Eugene, OR 97401 <br /> 7Cr ~ - / / / ~ ~ (541) 682-5560 <br /> S~rvice ID: / ~S~ID/•_VVV PB GL V_ JC JE _ / \ <br /> Prfoject title: _G ODJr ~D~i'l ~ZLG7'JLLL 1'Vf~S~L`Llli9t~~SI2. ~X~,/snr~/S ~ ~~ir?tot,GS ~c.o('~9~pn(S ) <br /> ~ (~ocarion ana work deseriptan) <br /> ~P oject manager contact /private engineer. /G~ ~L <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> ~ Concrete walks: Setback /Curbside <br /> flenDthl (1 <br /> Sahitary sewer 230iU L~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOU CES: ~~m 335f '~~fS07S !v~ 73S <br /> i City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CdMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ! /S G"L /S /7 M'1 ~(tS~J~I ~tS/_ <br /> 1~ <br /> / ?6 r E rr /yt~r~, <br /> S s ~ ~-k6s~E <br /> APPROVED: <br /> ~ PrgjeCt Manager Date y~~~y <br /> Prihcipal Engineer Date ~ <br /> Facilities Manag~~rrr .~,~e~,~ Date <br /> ~ City Engineer !!~'~~•C-~ Date Z • r~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ Capital Project No. ` J~,~~J^ ACK ~"~`I -t ~ ~ ~ ~ C <br /> GL Title ^~mrnu~~ ~ a~~` <br /> w ~ ~ <br /> Assigne y Date <br /> Accounting by Date <br /> ` 1rTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition <br /> BDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> t;lty Engineer's Initiating Order ? Public Improvement Permit Application ? Map (NO ~7~ <br /> file Request Form •J P <br /> ~~t <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />