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PROJECT AUTHORIZATION FORM Publc Wor <br /> k <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~Q~ Eugene, OR 97401 <br /> 2 ~ ~ / / ~ / ~ (541)682-5560 <br /> Service ID: SI~_ _ GL _ JC JE <br /> Project title: P~,~~a O r7e'r~ ~ A i <br /> 62~,~[/~y ~v~e~r~. ~ Tr,.res ~ ioN <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ ~ ~e`t~ ~ ~ r'r ~ v . N -~++9 <br /> PROJECT SCOPE: R'eq ~ov~0. 1`7iw~\ i~ W_I C,o r-~ ~?'LS ~ ^I- 5~~`i <br /> p ~ ~Ve~e.+ ~ WA1'ERLt~Ay ~e~~oy+o~~ ~O N ~~v?S Bike lanes /paths: <br /> ( ~ ) (width) <br /> Concrete walks: Setback /Curbside <br /> nenDth) rl <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: xF~ SDK FQoN ,~3/ 933a / 9 osorl~ ° <br /> r <br /> City ~ Assessments Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL W01DES~CrR^IPTION: ` ~ <br /> ~ i Q ~c. ( J 1 V d l v) ~ <br /> 6,r~oL lad?7 e <br /> t ~ zc.lc ct.r••.l4 ' <br /> i <br /> ~ ' y`, ` ~ i ,CCS <br /> APPROVED: <br /> ~ ~ 6 <br /> Project Manager Date <br /> Principal Engineer Date ~ 2 - ~ <br /> Facilities Manag Date <br /> City Engineer Date 4-'22 ~ O~- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~S) J~ ACK 53) a33? ~/S/KS(x 9U513~o <br /> M <br /> GL Title S~r M pr S ' 1 ~ Prc~ <br /> ~ Date ~ <br /> Assigne by <br /> Accounting by Date <br /> A CHMENTS: <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />