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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> ~ 244 E. Broadway <br /> ~rS~ Eugene, OR 97401 <br /> Service ID: ~ V 1 1 ~ ? / (541) 682-5560 <br /> _ SID_ PB _ GL ~ JC _ JE <br /> Project title: IZ ~ e,r- ~o', 1 1~- <br /> o ne~ ~ e I ~ - ..i al Q,,,, I ; Evg,~,V~1 e <br /> (locatron and work descnpt~on) <br /> tj~~Ot~IS for k~'olne~ C.6R\9¢~ a.v~.G~ b ~g,r-~. <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> C~~~Gr ` / L~~: ~oe C~ovS ~ r~ ~i Bike lanes /paths: <br /> (w~dt s) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sc~?wc ~D O I~ Landscaping _ ~ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ 11~- d6~p1 Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 ~`b~ E? c 1 ~4. S UCG~i ide. ~ <br /> ~F i B ~ L~ e ~ SS ~ cC~ev+c~ w+.n3 ~n r.reo ;cSt ~ t~w..'1 <br /> <br /> ' o~ c, a ~!?o - . 1 ~!'tb ptr ~ y !!tom t ~ o ~ ~ \ 1'1 e~C~dw~~11~a (c. ~11~ D~`I <br /> O~- rJc3T.~c~.~ t~scs ~ rr`SCS t~c~: a~J <br /> a .t <br /> 1~~ ~e~. <br /> c ~le,re i c ~ I fi' <br /> 's ~ 1 e~~S ~ ~1 'E^ ~ t~ ! ~(QQ,I`~'~ ltd i t f <br /> t ` n <br /> V 412, c~ \ . ~ F.L Sqq. O bye t~(`~^ W ~ 1~ NAIa ~ 1! ~`D ~ A.~ a+ A e ti~° <br /> ~ ~allOtr~ a3 ,-~a,,~ ~ a" ~ n <br /> o ~ ~ o n_~~t.a'~--fie a c ~t v~ P i a .r . l~ e S <br /> APPROVED: ~ / <br /> Project Manager Date ` a <br /> Principal Engineer Date.. ~ ''L9 " Oi~ <br /> Facilities Manager ~ ~ Date <br /> ~ ~F. <br /> City Engineer Date ° <br /> m,~ <br /> FOR USE BY ADMINISfTRoATION ONLY <br /> Capital Project No. 9~ ACK s~/ ~ / T~/'~ ~G~D/~~_ <br /> GL Title _ 5~`M ~\V.Q~ ~b?y~~' ~ny~d ~4~'+Qt,l <br /> Assigned by y ~ ~ t)COV1 <br /> Date _ ~ 13 f du <br /> Accounting by _ 1 P~ lea-?~11~ Date I <br /> ATTACHMENTS: <br /> get Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? glneering Service Work Request 1 <br /> Engineer's Initiating Order ? Public Improvement Permit Application Map f <br /> l'I File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> i <br /> <br />