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~L~s ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> li Eugene, OR 97401 <br /> s~ , / ~ ~ ~ (541) 682-5560 <br /> Service ID: SID_/ PB _ GL - JC _ JE _ <br /> ~ Project title: ~Z`'~ t ~ ~ b ,+4 D r ~ nl I~ T~ 20 1-. ~f1.ST'~ i..l 1~- <br /> (loptwn and work descnptron) <br /> ' Project manager /contact /private engineer sr "6_ V E ~1-~9-f' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (wklth) <br /> Concrete walks: Setback /Curbside <br /> ~en9~) ~wldth) <br /> Sanitary sewer Y~ s Storm sewer t°_ S Landscaping <br /> Signal Street lights ROW required <br /> ~ New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / hNTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ C'~d~t! ~ /fit /ty di !t <br /> r ~ x <br /> n <br /> ~r~ ~R <br /> <br /> 'i L~r.S~.ruc~ ~'S4~w~/zrr .~il~'~il .i`d~ ®~o;;/c~rJ~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ ~ <br /> Facilities Manage Date <br /> City Engineer ~i.Q Q~ Date ~ i L7/ <br /> FOR USE BY ADMIN133RATION ONLY <br /> Capital Project No. ~ 250 ACK g 33 Z lokX~(.x 9 Z h o25 <br /> GLTitIe~W ~YLUYI~ ~ FYljd 'I'D f~I <br /> Assigned by r~g r'~' I n Date Z5 D r _ <br /> Accounting by _L~JY"" ~ ~ Date ~~Zg` <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Imp ?ri'eQ <br /> P <br /> SDC Budget Worksheet ? Engineering Agreement Engineering Service Wo Re~~,,,,~} <br /> ? Ctty Engineer's Initiating Order ? Public Improvement Permit Application ~ Map vCP~a' <br /> File Request Form G ~~I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~~~`1 NU <br /> . . <br /> _ _ <br /> <br />