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l~ <br /> <br /> ' Ph_.IJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ,LL ~ ~ ~ ~ "J (541)682-5560 <br /> Service ID:3ZO~" SID PB GL JC JE _ <br /> Project title: e t~ ~ j ~ l ~ 1tit ?a t,°v 4a{• . P/N113w16r17 ~I~~~~i~'f 1~n1 <br /> (bcation and work d 'Lion) '',A~ --~rr <br /> Project manager /contact /private engineer. rl~'~1tr~ <br /> PROJECT SCOPE: <br /> Paving: gF/2~ ~ i ¢~•Ul~( w Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: x~y ,d~ak, fI'-~Iiv 9~~a X0/`/35" 97'~50~~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1~711~1 ~ <br /> APPROVED: I <br /> Project Manager Dat <br /> Principal Engineer Date <br /> Facilities Manager Date _ <br /> City Enginee Date ~ ~ . - <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~~3a- L~~~~ ~-1 ;I <br /> GL Title ~ (r'~ ~ ~ ~1 <br /> w 1 <br /> Assigne by ~ Date <br /> Accounting by Date <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 20170 <br /> <br />