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~t <br /> <br /> . ' PROJECT AUTHORIZATION FORM Engineerins <br /> Public Works <br /> City of Eugene <br /> ~ L:~?~ ~ 244 E. Broadway <br /> ~Q Eugene, OR 97401 <br /> Service ID: ~8~ ` / / , / l (541) 682-5560 <br /> SID" PB GL"JC ~L JE <br /> Project title: _ _ ni. ~ ~ ,4 V ~,P~,~`d ~ <br /> (locatron and work descnptron) <br /> Project manager /contact /private engineer: __JCD LZ ~~.k~ <br /> PROJECT SCOPE: <br /> Paving: <br /> ' (w/drns) Bike lanes /paths: <br /> Concrete walks: (w/drn) <br /> nengrn) Setback /Curbside <br /> Sanitary sewer (widrn) <br /> Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: its a-°//h ~~t~QSei'Y1~itf' <br /> Clty Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> AC ~ . <br /> o n , ~ ~ <br /> C~rP? / s2 ~ ds Y fi,~., hsin SP-Gfi o n / /3 S ~O_ r~9tcf' <br /> r <br /> APPROVED: <br /> Project Manager ~ ^ ~p~O ~ <br /> Date - <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 6 - /9 -40 <br /> I <br /> ~j <br /> FORQUSE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. ~~536(a <br /> ACI< _ 5'31 ~33~, ,~,xaca~.X 9®s-3~a <br /> GL Title {-~yV~a7_pyt yG,q~~oy~ 1 <br /> 1 i <br /> Assigned by - ~,„~J N ~,Ntlt•f1 ~p I2l) ~ pD <br /> Date a. <br /> i <br /> Accounting by ~ <br /> Date <br /> i <br /> ATTACHMENTS: ~ <br /> ~ ? Budget Estimate ? Developer Agreement <br /> ? SDC Bud et Worksheet ? Engineer's Report On Improvement Petition <br /> g ? Engineering Agreement ? Engineering Service Work Request j <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 2000 4 <br /> i <br /> - <br /> <br />