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~ , <br /> <br /> ~PRGIJECT AUTHORIZATION FORM Publ c Wor <br /> k <br /> x / City of Eugene <br /> 244 E. Broadway <br /> ' Eugene, OR 97401 <br /> j ~ N~ (541) 682-5560 <br /> ' ~ SID PB ~ GL ~ JC JE <br /> Service ID: <br /> ~ +'7"~.,'. ~ t ~ t.:.i ~ e& ~ti ~ r` t ' x 77': ~ ''t . ~ , t ; > t ° o ,~,'j . <br /> Project title: ~~''/r°°~< / ~r F , ~ .r , ,r /,~.i ~ <br /> (location and work descnptidn) t <br /> ' .1 '15 f ...t / ~P i''' r"\! y,)sc:',. :"`3l !r_~ .>'J~t ~"'C~..~"~'r..tC.t.1':w"~/ ?t '~a:~ ' i . <br /> ~..:L.d a.'.";r3l~j t.''~' '~7i .~-I"^J t C.tf~ t~. °w'`~? <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> ' + I~' Bike lanes /paths: <br /> a',..c..~'! l~C. L:, t""''~~ ~ ~'i/'~."r .~;...1 a' r C,. P-'i% <~''ti-1 i_.~-- i" f~} l~ <br /> Paving: ~ ? , , _ (width) <br /> Concrete walks: r'(..' _ Setback / ~'u'rbside' <br /> (length) (width) ~..w.-•«..~"" <br /> Sanitary sewer ~~~~-y Storm sewer ~"ti Landscaping ~~~f <br /> Signal Street lights f"~` ROW required ~r'° <br /> New building construction Planning, other Remodel <br /> FUNDI G SOURCES: , <br /> City Assessments ~ Private Other department <br /> Account code <br /> Fed / Stale /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / 1NTERDEPARTMENTALWQRK DESCRIPTION: <br /> APPROVED: <br /> Date j ? i <br /> Project Manager <br /> Date ` <br /> Principal Engineer <br /> Facilities Manager, Date <br /> Ciry Engineer ~ , ' Date ' ' ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1 ACK ` ~ _k <br /> ' ~ <br /> r... <br /> GL Title ' . ~ r s ~ ~ ~ <br /> r <br /> ~ t <br /> ' ,r, ~ 17~ ~ ` ~t <br /> ; --P' Date ` ~ ~ c ~ ~ R. <br /> Assigned ~y~.~.-~.--~-.T~,-~_---~ <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 /> ? Ciry Engineer's Initiating Order ? Public Improvement Permit Application o,~ Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY2000 <br /> <br />