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~..r" <br /> ~ L_..- <br /> ~ <br /> j+4 <br /> I ~ <br /> -ROJECT AUTHORIZATION FORM ~ , , ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> r I Eugene, OR 97401 <br /> Service ID: J ~ ID ~PB ~ GL~ JC - ~JE ~ (541) 682-5560 <br /> Project title: mil r~y~ cif/t~.- ~ t°.~7,/~ <br /> (location and work d cnption) ~ <br /> iUG~..s 's`iC.~tr' P~v ~h <br /> Project manager /contact /private engineer: ~f <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: (~h) <br /> Concrete walks: Setback /Curbside <br /> ~ jlenyth) (width) <br /> ' Sanitary sewer _ ~ Storm sewer Landscaping <br /> Signal Street lights r'"'"-~ ROW required <br /> New building construction Planning, other Remodel <br /> 'FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> i <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> , <br /> i <br /> APPROVED: ~ j <br /> Project Manager ' ~ ~ ~ r Date t <br /> i <br /> Principal Engineer Date <br /> ~ ! Facilities Manager ~ Date <br /> City Engineer - ~ Date 7f Z~d ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ t ~ ACK ~ ~ ~ "t j ~ ~X~ ~ ~ Z <br /> GL Title ~1.~ ~ lY'1 1" ~ Y lC~._ <br /> ~ <br /> i Assigned Date <br /> ,Accounting by Date <br /> ' I <br /> ATTACHMENTS: <br /> <br /> ' ? Budget Estimate Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet I~'Engineering Agreement ? Engineering Service Work Request <br /> {I ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW / V~dministration <br /> File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ssM,; , <br /> <br />