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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / , / / (541) 682-5560 <br /> Servic 4 ~ Si v ~ 11// <br /> e ID: - SID_ PB _ GL _ JC _ E _ <br /> Project title: ~ ~fl ~'~f~ .r2~s~~ ~ ~ ~ ~ ` ~ ~ / ~ <br /> (locatio and work description) <br /> Project manager /contact /private engineer: ~ ydfi = <br /> PROJECT SCOPE: <br /> ~,~J' I <br /> Paving: "`~it~ S Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sew,ler~ ~ Storm sewer Landscaping_~C L~-~ <br /> Signal ,~(d Street lights ROW required <br /> New building construction ~ Planning, other ~ Remodel <br /> FUNDING SOURCES: ~a~~~DU ~ ~5'D~~f 3I Z <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIA/L PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: T~ ~ <br /> ~O • . B~~ 8.~' ~ C~ ~~9 a° ~ /C.P 7~" ~®4`a~Q~ ~~is". ®/~o°er~ E"~ p;S`A <br /> s At a~ lv~ r~'l ift"S o'd t'~ t~/Lf; ~ L'®'C7 4~" l'r' /T09' ~~K ~ C <br /> ~t`1l <br /> tr <br /> ~y/ra~®-~~t ~ ®`.S ~.r `fib L9~~/~ /rfle ~iS ~i- f~~P~ ~~"j~ <br /> ~ ~ -fuels rf~e a~~,~, a9 ~ ~,,g' ~ ~ ~ /~1®~ ~ <br /> x <br /> APPROVED: ~ 1~ ~f <br /> Project Manager Date <br /> Principal Engineer Date 2 n ~ <br /> Facilities Manager 7 ~ Date <br /> City Engineer ~__~t~~ ~.~c?j~ Date l~. `~Z"-n'~tl <br /> FOR USE BY ADMINISTRATION ONLY /1, <br /> Capital Project No. ~ zs0 ~ ~ ACK 933a la~C~Ck )C `1 Zs~~y <br /> GL Title ~ L--~'~:5~ <br /> Assigned by Date ~ ~ 29 u ~ <br /> Accounting by Y7~z.-~c.,i Date <br /> ATTACHMENTS: <br /> ~ _ <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improv eir t Petitioon <br /> <br /> _ i ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work R es~~°~~ . <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 ?O~G <br /> <br />