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W'"l <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i City of Eugene <br /> ' ' 244 E. Broadway <br /> ~ ~t? ~ ~f <br /> ~ n ~ ~ ?1~ Eugene, OR 97401 <br /> j h1,~'/` ~ (541) 652-5560 <br /> Service ID: ~/~/I~ ~~r/i'~~ <br /> Project title: `T <br /> l.~ ~~7at~~i `-~i~-r ~ e~-~~" <br /> P ~ ? (location and work description) <br /> ~ roject manager /contact /private engineer: ~ ~GJ~ ~ <br /> ! / PROJECT SCOPE: ~s~ <br /> JL Paving: ~ ~ ike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ (length) (width) <br /> Sanitary sewer Storms r Landscaping ~ ~C.. ~ _ <br /> i <br /> ~ Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDIN SOURCES: <br /> City o Assessments Private Other department <br /> ~ ~~c}DYI~vt SI~G~ ~2/~~ <br /> Account code <br /> Fed /State / G~ounty /FAA fixed) <br /> COMMENTS /SPECIAL PROJE T INFO. /INTERDEPARTMENTAL WORK ESCRIPTION: <br /> ~ XiZ,~ ~ e.~ ,q ~~y.~~r~-T <br /> "are , av ~ ~ ~ ~~7.~~~24~._~q~3 <br /> r <br /> j ~r,a ~ ~ ~ ~ ~l~ T~i~f <br /> APPROVED: <br /> ~ <br /> Project Manager Date <br /> Principal Engineer Date ` <br /> Facilities Manager Date <br /> Ci En ineer 0 <br /> tY 9 Date ~ l / R 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> 333 933 X Xxxx 9Ds'a3y% <br /> Capital Project No. 9d5°? ~ ~ ACK X35 9'33a X X 1(~X 9 D55o?3.~ ,)c. <br /> GL Title ~~r~i~, ~l <br /> ~D„~..~ <br /> ~'l?67~ t/~~1~3.~' <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 /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager -MARCH 1998 <br /> <br /> i <br /> <br />