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<br /> . <br /> PROJECT AUTHORIZATION FORM Engineering <br /> . Public Works <br /> City of Eugene <br /> ~ ~ /I L___-, I~? ~ f~ 244 E. Broadway <br /> J l Eugene, OR 97401 <br /> s ~ ~Ca <br /> ~a ~r ~~r f (541) 682-5560 <br /> Service ID: i ~ e~ n <br /> Project title: ~V~~ ~ C~~ C~K:~ L,~) 1 <br /> (locationpa/ndworkdescripti~on/)~ ~ i A - ^ ~ ~ <br /> Vy~?~ls°V ~v~J'Lr~/IV61` ~,ikC?) <br /> Project manager /contact /private engineer: ~ ~ ~ ~ ~--~:L~C~i <br /> PROJECT SCOPE: <br /> Paving: ~ ~S~-~~o~ Bike lanes/paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ (length) (width) <br /> £anttargseraer ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other I ~ Remodel <br /> FUNDING SOURCES: <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~! W V~ ®v ~ 121 ~ ~ ~T i12~ .~1i ~ <br /> ~12~-~- ~1,~ «-t~ C~L~I~ 1nl ji i'l ~z~C~IJ~ ~ <br /> APPROVED: , <br /> Project Manager Date ~i <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date y- Z-~o ~-6/ <br /> FORD USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ a ~ ACK ~ ~ ~ X~ ~X ~ <br /> GL Title ~ ~i(.-/'1'1 /3'1 ~/-?I~S' C~C•.~~ <br /> it1P' t~~ 1`E~ <br /> Assigned by y~"~' Date ~ ~ ~ <br /> Accounting by Date <br /> ~ ! ATTACHMENTS: <br /> _ `$~dget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> J SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH. 1998 <br /> <br />