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<br /> r~ w <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> C,,.-~...r-- 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ d~ ~ SID ~ PB ~GL~JC _ JE <br /> Project title: Air~oiz.-~ ~ TA+rI~•,Au ~ZC~A~ - f1~~~aA~ <br /> y 6,~~-~ <br /> (location rW work description) ~ <br /> Project manager /contact /private engineer: ~ ~ 5 <br /> PROJECT SCOPE: ~ r <br /> Paving: Z 2 d C~ X 5 b Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Qength) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City e ~ ~ Assessments Private Other department <br /> / Account code <br /> Fed /State / Coun / F ,/9 ~ G r A fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager - Date j b ' o.~ <br /> Principal Engineer Date ~(Zt~.; <br /> Facilities Manager - Date <br /> City Engineer .~f°: ~ ~ Date ~ ~%?w <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ `~~3y_ Y uY,~(' ~u ~ ~U 1 r- <br /> GLTitle R'~~ <br /> ~ ~C~ ~ X i w c1 U f~ t ~.T~~ <br /> Assigned ihy ~ Date ~ <br /> ~J ~z <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> G ? 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 />