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t ~ <br /> I~ROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ ` 244 E. Broadway <br /> r Eugene, OR 97401 <br /> Service ID: ~ 4 ~ ~ ~ ~rlP ~ •,541) 682-5560 <br /> SID_ PB _ GL - JC _ JE ; <br /> Project title: ~ O L tL ~ "I' R ~ ~ T ~~T~- i ~t 4f~~. I •r ~ ~ <br /> i ~ I <br /> (location and work descnpt~on) <br /> Project manager ~ contact /private engineer: - ~ --~-..--.~d~.t ~ ~ <br /> r~ ~ ~ nl <br /> PROJECT SCOPE: <br /> Paving: ! Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> penern) (widrn) <br /> Sanitary sewer Storm sewer_ 7C~C~ ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ 6 ~ ~ ~ ~ "'y ~ i ~ <br /> City ~..'a~ ~~'h Assessments ~ 2 ~ ~ ~ ~ Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> OAf S"T I'C'v c. T Q Y ~ 4 t w1 ~ ~ El E ~ /21.1 d N h ~ ATE ~ "V ~ L , . r,. ~ i'~er 1 F~ t 1 ~ <br /> APPROVED: ~ ~ <br /> Project Manager Date 1 ~ ~ <br /> Principal Enginee? Date ~ i ~ ` ~ <br /> Facilities Manager Date <br /> City Engineer _ r r Date ? _ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ `i <br /> a~ -`r[~~i ACK ~ <br /> ~ j Cv X `u' f ,;/i L~ `T,~r <br /> GL Title r~~ r'`f~°7r Ic' iY° t' ~"dt /fit, <br /> r <br /> Assigned by Date ~ d~- <br /> Accounting by ~ ` Date ~ ` / t <br /> ATTACHMENTS: <br /> ~J Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~yr ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ~l File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />