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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ 244 E. Broadway <br /> J ~ Eugene, OR 97401 <br /> . / ~ ~ / (541) 682-5560 <br /> Service ID: r~ A~~~~ SID_V PB _ GL _ JC _ JE <br /> Project title: -n_ 1_~e,?~ ~-tV ¢.y'l cJ ~~~X~i~ a Vv~ ~ ,a ~ ~ v>, e <br /> (locat9tion and work desc ' tGOn) t <br /> -'-h~c~ 1C , ~/2 V~ I ~ Gt Y~ ~ ~'TQ 1~' VL'`~~/-'~,1 <br /> Project manager /contact /private engineer: a,o 1 ~ Irl~., l ~ S <br /> PROJECT SCOPE: r ~ <br /> Paving: ~ ~ y ~ Bike lanes /ya#~hr~ S <br /> (widths) ~ (width) <br /> Concrete walks: S. O O-a S etbac Curbside S . <br /> (length) (width) <br /> Sanitary sewer t ~ Storm sewer Landsca in <br /> P <br /> 9 <br /> Signal Street lights ~5 _ ROW requiredS <br /> New building construction Planning, other Remodel <br /> ~~P <br /> FUf~ING SOURCES: 3,~ IL aySE XF~ <br /> City ~ • 3~ Yv~ . ~ Assessments ~ (o off- ~ ~ Private Other department <br /> I , o ~ y cro-z~ 'rrav~.s S D ~ ~ ~'-1 b'U~ o-a-r~ S~6~rw• SD C- Account code <br /> Fecf/ State /County /FAA ,~~,"f~5-f"o% fixed) <br /> :COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> -~v r~ ~ w , -~-b. I` y Ll ' -~,r ~ 12 ~ v ~ M2d -f-a ~ ~ s s L <br /> ~(~--f~'?~o,..~ )~n~s -f-o ~~I -I-I ~ ~ A-~se.ss oc,. t f <br /> APPROVED: <br /> Project Manager ~ ~ ~ Date ~ <br /> Principal Engineer~~~' ~ ~ Date ~ ~ <br /> Facilities Manage Date <br /> City Engine Date f!~~IOZ <br /> FORU~fSE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~5~r`~` ACK ~3~J ~3J~ ~X~~~ ~j~~~~ <br /> GL Title R~ 1l~lP <br /> Assigned by Date ~ a ~ ~ <br /> ~1 O <br /> Accounting by Date l~ ~ r~'' <br /> AjTACHMENTS: <br /> ~3udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> i " SDC Budget Worksheet ? Engineering Agreement ? ,Engineering Service Work Request <br /> ?~Ity Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> IJ File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ <br /> _ _ <br /> <br />