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@ <br /> I Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> t~y~`.y~ ~ City of Eugene <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 _ <br /> p ~ ~ ~ ~ ` ~a Z (541) 682-5560 <br /> Service ID: I't'~~ a 4~ SID_ PB`' ~7GL _ JC_/ JET <br /> Project title: t-~L~bl~ y~i~~~-'I ~ ~d '1~f1~~hV t~~~L`i ~ ~1"~'~ l.' <br /> (location and work description) ! <br /> Project manager /contact /private engineer: ~~-t/.~;~ <br /> PROJECT SCOPE: <br /> i Paving: ~ E ~~'j'~a g"ls° ~a ~ l d~ <br /> (w;dtn) Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer ~>l~ Storm sewer Landscaping~~ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> I City ~ Assessments Private Other department <br /> <br /> ,I Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> l <br /> APPROVED: r g <br /> Project Manager Date 8~~~r1.°a.. <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ Z--- <br /> 'r <br /> i <br /> FO,jR USE BY ADMINISTRATION ONLY <br /> Capital Project No, r~~~~7 ACK q~`3"~ X35 ~ <br /> I p~ _ <br /> GL Title "e°-'~`1"~ ~ '`f d~ ®i~~~'c~`r <br /> Assigned by ~ ~ Date G7 <br /> `3 J ` <br /> Accounting by Date ~ ~~b <br /> ATTACHMENTS: <br /> ? 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 ARplication ? Map <br /> ? File Request Form <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />