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~ :__ ___ _- - <br />PR4JECT AUTHORIZATION FORM E"9'"eer'"9 <br />Public Works <br />' City of Eugene <br />• ~ ~ ~,~ 244 E. Broadway <br />~ ,o ~~°' ~ Eugene, OR 97401 <br />~° ~ (541) 682-5560 <br />Service ID: ~v7 ~~ SID~PB _ GL _ JC _ JE _ <br />Projecttitie: ~~~~)I~~(~~~_~~1 ~~~1~1~ <br />(/ocaNonand woikdesnripliqnJ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: ~ <br />Paving: c~ 1 Bike lanes / paths: <br />~w~ar~sl 1 ~W~ora~ <br />Concrete walks: ~.~ Setback / Curbside ~~~~~-~ <br />(/eng~J (w~arh) <br />Wastewater Ut~ ~ Sformwater Landscaping SC.~ ~ <br />Signal - ~~ Street lights ROW required~ ~ l~ <br />New buiiding construction Pianning, other Remodel ~s~ % <br />FUNDING SOURCES: <br />City Assessments Private <br />Other department <br />Accountcode - <br />( %, fixed) <br />Fed / State / County / FAA <br />' COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Prajeet Manager <br />Principal Enginee <br />Facilities Manager <br />City Engineer~ <br />t....1o C. \Yl 2~ -C.YYF~ ( {~ v ~ <br />1 ~-- Cl,l'E'~- ~-, <br />~~ ~~ ~ ~ Z~~~: <br />Date Z ~ <br />Date <br />Date <br />Date ~ / U~'% <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ l`'~~~~ ACK ~~, ~ J~~, ~~x--~ <br />GL Title~" ` ~5 t ~ , v"~f~-~-~ ~' ~ ~~ <br />Assi ed by Date ~ ~ <br />Accoun ing by Date <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 Application ^ Map <br />" ^ Request for Scoping Meeting <br />~1 ~jt ~ , <br />~J <br />