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~ <br /> PROJECT AUTHORIZATION FORM engineeri"9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> i / Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> Service ID: ~i ~ SID ~ PB ~ GL ? JC ~JE _ ~ . <br /> Project title: ~ ~i ~ ~~1n ` r~ <br /> (location and work descriptio ) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) j <br /> n)~ Landsea In <br /> Sanitary sewer Storm sewer p' g <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> `~`rti~ 8 ~ lA/~~-t, '~+-~I,~ ~-T~(~ ~f 1r.6,1~'C ~Z ~l~1 '~D S~-~zt6Q~ 1`'-~tZ- <br /> ~4~+1.7f4-~1~. Dpi ~-~~-e Ti~~_ eaC~-Tt.~t~ ~ Z'~~ ~JJP~~i'~ ~"~z~l-t~® ~S'3-tii~' <br /> n <br /> <br /> ~ APPROVED: ~,o ~ <br /> Project Manager / Date ~ ~ <br /> Principal Engineer Date ~ ~~~f~~ <br /> n, <br /> Facilities Manager Date ~ <br /> City Engineer Date ~ <br /> <br /> j FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~0?:5~6~1oL° ACK k~X~X 9~~°~Lol,~ <br /> GL Title Zc~i ~ 5'~' ~rxu~? : i~ <br /> Assigned by Date <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 Re uest Form <br /> 4 <br /> ENG 415 WHITE !Finance YELLOW /Administration File .PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />