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i <br /> PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> i / Eugene, OR 97401 <br /> Service`ID: ~ ? (541) 682-5560 <br /> SID_ PB _ GL _ JC v JE T i ~ 1©~; , <br /> Project title: C..C~[.~" ~~u~~ f.+~`Y~SI~ '`F~T ~TZ ~~1 PtZ~il~~~ic. ~5' 1 <br /> (location and work description) <br /> Project manager /contact /private engineer: ~C~1~' 7 <br /> J" <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (w;drns~ (widtn~ <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ` <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> ' FUNDING SOU_RCES• {~°o ~ q1~ lZ'} 532 Ct332. (o t'3~ <br /> City "Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 7'-ft~ ~+~PZt9eas F' ']rtfCS ,~dLo! /.~_~/>p~ac~aAE~ ~~Tt%t~E <br /> a ~ _ x <br /> ® S <br /> , ~r„ <br /> 9 <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ 9°'" D <br /> Principal Engineer Date ~ ` ~ <br /> Facilities Manager Date <br /> City Engineer Date Z ~ ° Z <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9~5~ ACK ~ 1.~1c~C~X g~ <br /> GL Title rtY~. '~D?! 5 <br /> P- <br /> Assigned by Date ~ <br /> - <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 ~ Map <br /> ~°File Request Form ~ S~~t ~,-~-t~°~, ~r ~t~c,~ <br /> CJ ~_.J <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />