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r <br /> t <br /> PROJECT AUTHORIZATION 1=0RM ~ Engineering <br /> Public Works <br /> j~jrrrL City of Eugene <br /> ~ /1 ~ 244 E. Broadway <br /> t~''`f Eugene, OR 97401 <br /> i /1 ~ „ . ~r,pr , f ~ ~ - / - / % (541) 682-5560 <br /> Service ID: -~JP'~- t'~.~ ~~''~'~p1~J S~ID~,,A ,PfB GLy~J JC~`~,/_ JE _ ,,A' <br /> Project title: ~t'~l V~~~~ 1" ~ ~ ~ i~ir~`~,~ <br /> (laxtio d rk n) <br /> Project manager /contact /private engineer is'~I~r""~~~" <br /> PROJECTnSCOPE: ~r~/,~ ,d~~ <br /> Paving: r ~~~,`r"`E~f u`~°`~ ) Bike lanes /paths: <br /> ! ) <br /> j 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 RCES: <br /> City ~ Assessments Private Other department <br /> i <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. ?INTERDEPARTMENTAL WORK DESCRIPT N: <br /> ~ A-~ft~F~ Lt`''t" t`T~+t~~~ 1'~ J~-s rLT~ ~ l~ cTcA~` P,~1TS <br /> D~" ~~J s ~ ~ Qs ~Ttwt~-t~~ ~°~S ~~v~-- ~1~ <br /> <br /> ~ APPROVED: <br /> Project Manager Date 1~' !~J <br /> Principal Engineer Date ~ 17' D <br /> Facilities Manage Date <br /> City Engineer Date f~ U <br /> FO~Rn USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title 1 ~ ~ <br /> Assigned y Date gL <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 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> X1-13-D3A0~~2B RCVD <br /> _ <br /> <br />