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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> _ ~L.. City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ / (541) 682-5560 <br /> ' Service ID: ~ ` SID PB ~GL _ JC .Y~ JE <br /> t~t" ~ Project title 7_~ ~rc~(~j-t, ~ <br /> (location and wodc description) <br /> I <br /> ~ roject manager contact /private engineer: <br /> PROJECT SCOPE: <br /> ~ by ~ld~l~s 5~'(~TS I~~Dh-S tYt~~ <br /> Paving: Bike lanes /paths: <br /> (wrdt s) (width) <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 /> FUNDING S9YJRCES: <br /> City ~ Assessments Private Other department <br /> I Account code <br /> 1 Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Tl~cs ~,~rJ W w~ i~ ~ r~i'P Pfd t~ T~-T 65 Dt ~w~-r'" <br /> T® ~ c-,.t To nGt~l. t vA-c~ R~od~~'~ ~ ~e-~D T~ 't~~s G~~ w(u.. tom. <br /> <br /> i ~~~m ~ t°'t~"c~.4.,~r. oP ~~~•(-t~'SCf~~C~k ~ ~ ~I (~c1~~-U4-t~ Cdyt' ~S~Ir~~flouv~JJ <br /> A-~ oR- <br /> ® ~ <br /> APPROVED: /LCn~ <br /> Project Manager ' Jn~ <br /> Date ~ ~ ~ <br /> Principal Engineer Date - <br /> Facilities Manager Date <br /> City Engineers T T~~ ~ Dateh ~ y3 <br /> F(O'~R USE BY ADMINISTRATION ONLYf,,~`~ Q <br /> Capital Project No, ~ ~ ~ ACK ~ 3 ~ 9 ~2 ~~,~'~-U~ t ~ ~~l <br /> GL Title APP 2-I C-,e~er'~1 Ple~nn~nr~ <br /> Assigned Date % ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> i' ? Budget Estimate ? Developer Agreement ? Engineer's. Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? Ciry 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 /> C'7-':Jib-~3i,10~i~lEs iCVD <br /> <br />