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PROJECT AUTHORIZATION FORM i_"9."eering <br /> Public Works <br /> i <br /> City of Eugene <br /> I ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> •-a / / ~ ~~t1( (541) 682-5560 <br /> Service ID: ~ d_ ~ SID PB ~ GL JC _ JE <br /> Projecttitle: ~ i~l-,u~ ~ C.i'~" 1',°1 <br /> ~ (lo°c'atjion and work des~c{rip~tion) n , p _ ,~,~a p ~ 1~ pd ~r- <br /> J y$iS' i..7 / 1J Ga~7J6 a7l~il!%9°1~ '.T tl~~~'°'9'~2?1 ~'sS'a a%t- ~•':v ~~..`il1®.. €'J'"S~ 1.:3..1 fu' ~~'r? l./ <br /> Project mana~/ contact /private engineer: ~ ~ l~ <br /> PROJECT SCOPE: <br /> i <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> i.t.°~ ~~9;~ e, <br /> New building construction Planning, other~:-~:~~ Remodel <br /> FUNDING SOURCES: <br /> City v~ ~ ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~ l r ~S j t gS ~ j~ Q.... ZJ a~•~'€~ ~ a~'V~ °f°' i'~1 e'%.aYt~',~°-rt~°.a_ 6'1 r.~ ~ ~i~~ \ ~l.~r- ~"'~'''Z.,- <br /> ~ B~~i;: <br /> ~/1 l~4 a 4 ~ ~i'"! idS -`a~~"1 r ~'1•~a~~7TY^~ ~B~Es r e-Ci~' ~C^~. ~l.,l' ~ ~7 ~v") r <br /> APPROVED: <br /> ~PrQje t Manager Date <br /> +t~;ipal-E~g+ra <br /> ee~- Date <br /> Facilities Manager Date <br /> •Gi#~-Eragiaeea' Date .S~-" ~°-C~ ~ <br /> [y~ i d <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ t ~ ACK 5~ ~ Q ~ <br /> GL Title ~~1~/~~ ~~-1 l %l1''-f.-t-Yl1 V 1~ ~ ~ Q~~- <br /> Assigned b V Date ~ ~ 2- <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 <br /> ENG 415 WH~~ /-F~n~nc~ ~'~JV ~CA~Imir~is~a~i~ File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> 05-1~?-03~OII~21 ftCVD <br /> <br />