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PROJECT AUTHORIZATION FORM ~,/~~~~~s ~ Engineering <br /> r+ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~o Q T / ~ (541) 682-5560 <br /> SID_ PB _ GL _ JC _ JE <br /> Project title: /9 / /Z Po R 7` - /f o C /S J-/1'~C / Li4~ / <br /> (location and work description) <br /> caNSr~.uc r iyi= w T~-xr ~~•.vi_ ~r ~ac.~.~s = ' ~ c~i.~~~~_ y <br /> Project manager /contact /private engineer: ~'L /~!/~4~ <br /> I~ ~ ~ <br /> PROJECT SCOPE: ~ ~ <br /> Paving: S Bike lanes /paths: ~Vd <br /> (widths) <br /> (width) <br /> Concrete walks: ~O Setback /Curbside <br /> (length) (widtn) <br /> Sanitary sewer ~ a Storm sewer_~/l~.~ Landscaping /IGO <br /> <br /> I <br /> Signal _ 1~G ~ Street lights ROW required O <br /> New building construction Planning, other N ~ Remodel /1/~ <br /> FUNDING SOURCESd•~ ~Z~1~ <br /> City X /Q!o Assessments Private Other department <br /> qq Account code <br /> Fed /State /County FAA ~~/s fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> /s'li_ uJ Ti~X / L~fiV i= o ~ c l /`DTI= C~/S'~ <br /> fZ U cT~o~U.~ f= <br /> ~ 1 f- ~iV c- <br /> ~iz r /~oyZ ~ <br /> T/f a i5~o L Lis' <br /> APPROVED: ~ / <br /> Project Manager Date / ~ <br /> Principal Engineer Date Z O <br /> Facilities Manager Date <br /> City Engineer Date- Z- <br /> FOR USE BY ADMINISTRATION ONLY ~3 <br /> Capital Project No. ACK / <br /> ~ ~ Title / 115 ~ ~ ~ ~ <br /> A tied by . <br /> 1 Date _ <br /> Ac ounting y ' Date <br /> o- <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 /> <br />