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_ <br /> c~ qq <br /> f ~.d ~ VB <br /> PROJECT AUTHORIZATION FORM R _ Engineering <br /> Public Works <br /> ~ City of Eugene <br /> r~~, 244 E. Broadway <br /> ~ : V Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ C7l.o 0 SID ~ PB 'v GL ~JC ~ JE 3 b2.1~ <br /> Project title: ~ Yy~41..7 ~ lr LQ. ~ j <br /> (locahon~nd work descnphon) ~ <br /> S ~ ^ 1 <br /> Project manager / ontact /private engineer: 1 ~ k 0~•~. ~ S 1r1 ~ Q,~ ~ S <br /> PROJECT SCOPE: <br /> Paving: (~~hs) Bike lanes /paths: <br /> <br /> ' (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer ~a0.~~~'' a n ~ndscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City a'~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> S-I-a r vv. w a,-~-- V' -~'u r. did ~ f - L`~?l~ <br /> ~`~-~r~~~~_ <br /> , <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer ~ ' Date -a. ~t~' <br /> Facilities Manager Date <br /> City Engineer , - Date s ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ ACK 53~ g332 (~Xxx.yl <br /> GL Title ~Tr4 ~mGi-Z.l~n t~1r (A.~ ~,~`~'I'1 <br /> Assigned by `"~~~Y~'-w+'" _ Date 5,30 DL <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 ~l Map <br /> l~File Request Form <br /> EN~G <br /> 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Fite .GOLDENROD /Project Manager JANUARY 2000 <br /> <br />