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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> - j $ - <br /> ~ " Eugene, OR 97401 <br /> Service ID: ~ ~ ~ 7~ (541) 682-5560 <br /> SID_ PB GL ~ JC ~ JE <br /> Project title: ~~/~l.~Q{?t~1~1'(" <br /> (location and work descnpbon) <br /> Project manager /contact /private engineer: _ L16>~ Ill ~ ~ ~ 1 ~ s <br /> PROJECT SCOPE: <br /> Paving: N®~~ (widths) Bike lanes /paths: <br /> P / (width) <br /> Concrete walks: ~ 2~ ~ ft.l SPA Curbside <br /> (length) (width) <br /> Sanitary sewer iU®RI~ Storm sewer Landscaping <br /> Signal Street lights_~l.~A- ROW required d~~ <br /> New building construction ~ Planning, other Remodel <br /> FUNDI ~SvO~ CES: 3Z~ g335' (o17gq Q7~5'o <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> II <br /> ~~1.~P~ ~r.9"'~~C <br /> ~ `1~F l ~ ~ °2.'3 ~~..(Z~ N~'.1 ~h~'~I~i~ '~'ik`R-c~ i ~ <br /> °-ra ~ ~I~iC ~1~I~lC~-- ~P~-K.S ~t~~ •~uI~~P ~r~~P~illri~cTfir~ <br /> ~ cup o <br /> BA-~.~.- 6 <br /> .~r~ <br /> ~4 b <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~i~X X X <br /> 33 {O <br /> GL Title ~c~~ ~~~~~i.r; <br /> .~t~,t~y~cP~ <br /> Assigned by ~ Date ,1~ <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 /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> 1 <br /> <br />