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Engineering <br /> PROJECT AUTHORIZATION FORM - <br /> ~ Public Works <br /> <br /> i <br /> <br /> ~ City of Eugene <br /> ` ~ 244 E. Broadway <br /> ~ < Eugene, OR 97401 <br /> Service ID: • ~ ~ ~ ~ ~ (541) 682-5560 <br /> SID_ PB - GL _ JC _ JE <br /> Project title: <br /> 22 t-' S~2 ~~r ,~~ie(~ ~~'~/ills - 2~~_ <br /> (location and work descnphon) <br /> Project manager /contact /private engineer: _ ~~~~/G rt1 L L <br /> PROJECT SCOPE: Z~IJ~ ,dNQ $~,i~L C/I~GIeS <br /> Paving: (widtns) Bike lanes /paths: <br /> (w:dtn) <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 SO CES: ~~~rl ~('i' <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> `n r Sod ~ <br /> c <br /> ac <br /> / r ~ <br /> ~6J ` Or/ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer- Date f 5 ~ G <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> FOR (U'~SiiE BY©~(ADMINISTRATION ONLY q`~~~~y <br /> Capital Project No. ~"t`t~~ C? '7 ACK ~ ~ ?~3~ X ~L ~ X "~;~~~~1 <br /> GL Title ~'C%~'lf'~-1 - ~~Y'~t ~ <br /> "~,~f <br /> Assigned b 1 U l / <br /> 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 Request Form <br /> ENG 415 j <br /> WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> v <br /> i <br /> i <br /> . <br /> _ <br /> _ <br /> , <br /> _ <br /> <br />