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<br /> i~ ~ 1 <br /> PROJECT AUTHORIZATION FORM engineering <br /> s ~ Public Works <br /> ity of Eugene <br /> ~ ~,~~.dd-~ ~44 E. Broadway <br /> / Eugene, OR 97401 <br /> ? V/, `1\~ ~ (541) 682-5560 <br /> Service ID: ~ O J ~ SID.=PB ~GL ~ JC _ JE 1_•C\ <br /> i <br /> Project title: ~-.O ne ~FS fr( ~J r- . ; ~P.^ , a ~r ~ u~¢ <br /> ire g t~4v ~ N G <br /> (lorabon and work description) <br /> w a ~ 1~C, a Cis s; I ;iti /7 <br /> Project manager /contact /private engineer: ef' `-I l a ~ ; n/ <br /> PROJECT SCOPE: <br /> i <br /> Paving: ~t.u: <br /> ~.tS t-~,~ris~ ~ac Bike lanes /paths: <br /> ~ (w,dtns) , (widrn) <br /> Concrete walks: 3 ~ Setback / r~id~ <br /> (length) (width) <br /> Sanitary sewer Storm sewer /~5 f1e e ~e ~ Landscaping <br /> ~aF SS_N5 d.1..~ lsl•~+A~Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City A. ssm Id .rw Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENTALr.~WORK DESCRIPTION: + <br /> _ ~~02..1 ~ o..~,.1 e ~ ~ . U: 1 s APP rr~ d <br /> r <br /> APPROVED: _ <br /> Project Manager Date 3/ ZZ~d~~ <br /> Principal Engineer Date Z~ ®Z,.... <br /> Facilities Manager Date - <br /> City Engineer Date-_3 z"r/ Z-- <br /> FOR USE BY ADMINIS~TI~ATION ONLY <br /> Capital Project No. ACK .~~'S~ ~3~°~ ~x~~~ 9~~ <br /> ~ <br /> GL Title ~f i f~~~~ <br /> Assigned by .F Date <br /> Accounting by ~ Date ~ d <br /> AT,T'~CHMENTS: <br /> d udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? E,agineering 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 />