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__ . .... . .. <br />µ: ....,.t.. ~ ._~ ~,_ . , :.. „. . .: ._ _,: K µ.,,~ . <br />._.~... ._ .. ., ~ .__........ _r , _.,_ . ~; <br />~` ,.. :._ , .. . . _ -.. . ~ .. . .. <br />~~ ~ <br />PROJECT AUTHORIZATION FORM E"9'"eer'"9 <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~~~ ~ ~ ~/~ ~ ~ ~ ~ Eugene, OR 97401 <br />(541) 682-5560 <br />Service ID: SID_ PB _ GL _ JC _ JE _ <br />Project titie: ~ ~ _,~. ,~ ta~ : ~st `~~ , ~.~ _~ ~, <br />(/ocsNon and wvik descriplionJ <br />Project manager / contact / private engineer: ~L ~~ , ~~4li~'~c~ ~ <br />PROJECT SCOPE: ~ <br />Paving: 2~' P~ ~v ~ Bike lanes / paths: <br />(wlarhs) ~°- { (cv;dlh) <br />Concrete walks: ~7 Setback / Curbside <br />(~B~su~J (widu,)~~ e+ <br />Wastewater ~ Sformwater /~ ~-- ~ Landscaping <br />Signal Street lights ~~.5 ROW required <br />New building construction Pianning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private ~ Other department <br />Accountcode - <br />fed / State ! County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />. <br />APPROVED: ~ <br />Project Ntanager <br />Principal Engineer <br />Facilities Manage ~ <br />City Engineer °°~"° <br />Date ! 9 t ~~ <br />Date ~ <br />Date <br />Date~~s~ ~~~ <br />Capitai Project No <br />G! Titie ~~, <br />% r <br />Assigned by ~ <br />il ,~ <br />,, ..~.____- <br />Accounting by _ <br />Date <br />~ <br />C <br />r <br />c: <br />U' <br />ATTACHMENTS: ~ <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Buclget Worksheet ~Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order l~'Public Improvement Permft Application ^ Map <br />O Request for Scoping Meeting <br />~,. ~n~u~TF / Finanrc v~i ~ (~}~f.~-~1GIff1:Fl38Efa'1t79LLFJIa Pl~~t[ / c ~ •- y ~ - ^n ~ o -~ - -98f ' /~ZD84~ <br />~~~ <br />~ <br />FOR USE BY ADMINISTRATION ONLY <br />~ ~ ~ ~ ~-~ ~ ACK ~ ~ ~ ~ ~ ~~ ~ <br />~ ~ L'~ <br />~ ~ l~~ <br />Date <br />