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o~. <br /> Engineering <br /> <br /> i ~ pf~OJECT AUTHORIZATION FORM Public Works <br /> ~w City of Eugene <br /> 244 E. Broadway <br /> r~ Eugene, OR 97401 <br /> ~ ~ ` ~ (541) 682-5560 <br /> Service ID: SID PB GL ~ JC JE~ <br /> Project title: ~ l° r'. ' :te.. r.. ~ , , .r_ ,r. <br /> r( jloCetio~,a~d work description) <br /> / <br /> Project manager /contact /private engineer: ~ ~ ,r~ tra'`<~d.. ems, ~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (width) <br /> Concrete walks: • ~ T'' ~ ~ Setback ~~Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer +'^l /t rp - Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments. Private Other department <br /> ~ ¢ x ~ ~t~ . ~ Account code <br /> Fed•~ State /County /FAA x;-~. C`~.~. f~; .~5:,`~~' r r.4 i. ~4 4 j ! ~.~t,r fixed) <br /> / <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: i <br /> ,~'/.~'tp!7't M r .~r Le' r. r r.. f',«.`~•'t' ' f.l.. % r7~ N1p'.r':r1 Jd+M"~:~ <br /> a n ~ ' <br /> J`' j , / F d ' .Y. , r. I , Ei.. ,1 ~ : ,~i dF'• r'"?~ .J;1 ~ ~ xd , R,. ~d~ <br /> 7 <br /> R <br /> APPROVED: d f' ~ <br /> a'' <br /> Project Managers ' ::~t~~,~f Date_ r <br /> ,I- ~ <br /> Principal Engineer k ~ ~ t-~~ Date ` f I <br /> Facilities Manager Date <br /> - <br /> City Engineer ~ ° ~ ' Date " / tiL.. <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~ ~ ~ y ~i~.X=~~. >Q.1~~'- <br /> GL Title 'x.~%-'.. „ , ~ '~t <br /> Assigned by T,^''~- ,:!-t . / ~ 1' ~ Date ~ <br /> i <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 /> <br />