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r.,_ _ _ _ _ _ _._..,~.,.F ~ w,.~ _ - <br /> .~'t i <br /> IC y ~ <br /> ~ Engineering <br /> PRQJECT AUTHORIZATION FORM Public Works <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> _ Eugene, OR 97401 <br /> Service ID: ~ ~ ~ 1 ~ ~i p ~ !Q(~i ~ ~ ~ ~ C ~ ~~1) 682-5560 <br /> j Project title: M ~~.G>1-t ~ GNf~S ~ ~k~ZK <br /> (location end work description) <br /> a <br /> ~ Project manager /contact /private engineer: r ~ ~ C~~ <br /> II PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (widtn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping ~ P S <br /> Signal Street lights ROW required <br /> II New building construction Planning, other p~K b~ Vito P~j'"Remodel <br /> i <br /> FUNDING SOURCES: Ci(10 <br /> City Assessments Private Other department <br /> ` Account code , <br /> t~ ~ `i' 8ti3te°/ County /FAA (9~0, fixed) <br /> ;;;C MEtrFTS / S~ECtAL PROJECT INFO. /INTERDEPARTMENTAL WOPtK DESCFi1PTIQNc <br /> ~ _ , <br /> r ~s ~ ~ <br /> _ ~ ~ ~ ~ <br /> I ~ ..ry <br /> t r :E ~ ! <br /> ~ ~ <br /> APPROVEt~ ~ ~ <br /> ~,I Project Manager S Date 2 ~ ~3 <br /> ~IinciFet+~ineer, ~ Date ~U~_T0 <br /> ~ i <br /> facilities Manager Date ~ <br /> Date ,~CZ~~ - U ~ <br /> i I,il <br /> j j FOR USE BY ADMINISTRATION ONLY <br /> ( i <br /> I~ Capital Project No. 73.s <br /> ~O ~nn ACK ~O`~ ~ 9?~35~ XYX. 9.35/~a~ <br /> ICI GL Title fiiS Ch ~ t~7 ~S~- ~L'~'4-+~- <br /> Assigne by ' Date ~ ~ <br /> <br /> i j <br /> Accounting by Date <br /> <br /> I <br /> 1 <br /> ATTACHMENTS: i <br /> ? Budget Estimate . ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request j <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ~ ? File Request Form <br /> I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Flle GOLDENROD /Project Manager MARCH 1998 j <br /> ' i <br /> <br />