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~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />y ~ ~ ~~ Eugene, OR 97401 <br />~ L+- ~ ~ (541) 682-5560 <br />Service ID. v Sl~f?~PB ~.GL ~JC - JE _ <br />Project title: ~~u~i4~6„~( 8~~~~~ . <br />(/ocation and work desciiptipijfx , <br />a-. . .; ~'~ <br />;z. <br />.~ ~ <br />Project manager / contact / private engineer•:~,~ v: `~;': <br />~ i.5, r:~~:,. <br />PROJECT SCOPE: " ~ ~~``: ~ <br />~ . <br />' <br />?~ i <br />Paving: `~ ' - 3 ~ <br />0 ~~ ~ <br />~ ;., <br />~ <br />~ike lanes / <br />paths <br /> <br />Concrete walks: ~WrdlhsJ ~ <br />`J' ~w;dfh~ <br />Setback / Curbside ~~i~~~ <br />/~~~9fhJ (widlhl I / <br />Wastewater ~ Stormwater ~ Z Landscaping <br /> <br />Signal Street lights ~ ROW required <br /> _ <br />New building construction Planning, other Remodel <br /> <br />FUNDING SOURCES: <br />City Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: , <br />Project Manager Date Z <br />Principal Engineer Date ~~ <br />Facilities Manager <br />City Engineer - Date _ <br />Date %f .~v~ G ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~J3 v ACK 103~ 9'3vl Cn~oWr~c 3~1~5~8' <br />GL Title r~ ~ , ~ ~~0~!'1 <br />Assigned y Date ~ ~ ` ~ b ~ _ <br />Accounting y Date <br />ATTACHMENTS: <br />i ;^ 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 />^ Request for Scoping Meeting ~ ~ ~ ~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />Private ~ Other department <br />Account code - <br />;v :, : <br />u <br />"~ , ~~ <br />~ <br />~ <br />1:~; <br />