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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i='G~ ~'~~'G~-~' ~ l., ~ City of Eugene <br /> i~~ ~ ~ E ~b~s~~~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: 3~~'~ (541) 682-5560 <br /> SID_ PB GL _ JC _ JE - <br /> Projecttitle: ~C~ t_.-t~i~J~.-~it,`s`LS~- ~ ~~~~~'~CC'~?,~ <br /> (location and work description) <br /> C t~'f~'~~t~~~.d" <br /> Project manager /contact /private engineer: _~-~'~N?Mzn Pad lr~fiSw~+~~ <br /> PROJECT SCOPE: ~ <br /> Paving: ~ ~ W ~ , d ~ ~ C~~~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside <br /> (length) liti' hk t w ~a~~ <br /> Sanitary sewer Storm sewer ~ ~ Landscaping <br /> Signal Street lights ~ ROW required ~ ~ <br /> i <br /> New building construction Planning, other Remodel <br /> FUND NG SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> <br /> ~ Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 71-Q~s ~6~f UJt;t.t,. c~ ~ 7'~ ~T. ~"A'~iaJ `('rte ~ <br /> FR~~~-~' NJt~ rSr~r' P~6~D /~~te~'tr,~ prr~u~D A~ m-~ts ~'t w~~ ~'.~a~L C~ t~'iw+a~'~ <br /> ~bovc.() C~~iD Y,fa~4 !~d t.rn~. S~tw~l P~fi D ~ C~k~r~'~- >&s <br /> APPROVED: <br /> Project Manager Date Z~sZ <br /> Principal Engineer Date (g <br /> Facilities Manager Date <br /> City Engineer~'c~ ~~1~ Date I~'' ~d2a- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> j ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? 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 /> C <br /> t <br /> _ <br /> <br />