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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> ? 244 E. Broadway <br /> y~~~S-- Eugene, OR 97401 <br /> / (541)682-5560 <br /> Service ID: ~ ~ SID ~ PB V GL ~JC V JE _ <br /> Project title: C d' t/`/~ S-~OQ'[.( ~ rd i~Zo S i>'c~sT ,r/~o, q~p~~' <br /> (location and work descnpt~on) <br /> Project manager contact /private engineer: ~ ~ C l U <br /> PROJECT SCOPE: <br /> Paving: (w/drns) Bike lanes /paths: <br /> (w;drn) <br /> Concrete walks: Setback /Curbside <br /> (le th) (width) <br /> Sanitary sewer 2 1Sg Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: 33`~ . g.33 oZ S' x <br /> ci 7s~a~ <br /> ? Asse <br /> tY ssments <br /> Private <br /> Other de artment <br /> p <br /> 1 Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T~,®~ ra®~ ~ c~ c'.o-~ ssf a~' c~~s.~~[jJ''C~~~ wa sgs~F~/ ~s~,~ f~~s ross ~~v ~r <br /> ~L-s1~i18~ S~t~td!'C~ ®at P/c~bi/~ IS /~d s~?~C' LPG ~ <br /> ` w ~ f <br /> i ,C.g~ ~ ? S ~,~rq 17 4 ,,e'-~~vp 6S°I °P'". , ~ ~ 'r r,,"~~,„ <br /> ~ ~ Y6 ,t ~ ~ ~"a„~ 1®"~ sE 4° ~D s' ®R fit.. ~~~sc ~ ~~t. 6 ~U Q'l3 A T ~'.f` i a~. L /f lIG4 ~U~l~`,e <br /> ,$'s~r ~s vt~/R ~.a ~~rs ~t, E r®R~: A ~ ca r/~t ~~i~ ds/®.~'~;' <br /> APPROVED: <br /> Project Manager Date ~ Z-~ <br /> Principal Engineer Date .d <br /> Facilities Manager Date <br /> City Engineer Date 5~ ~ ' ~ a <br /> <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. RoJo85 ACK 33 g33a XxxxSC 9v5~85. <br /> GL Title ~ W~ RO~ <br /> Assigned 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 /> ~eFile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> p`~'``tia <br /> <br />