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, ~~ . <br />~ ~ <br />' PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />~ ~~ 244 E. Broadway <br />ugene, OR 97401 <br />~ ~°~ ~ 541) 682-5560 <br />', Service ID: ~ ~ ~ ~' SID PB ~GL _ JC _ JE <br />Project title: ~ ~~~ ~1 ~}~1 P 1< JT ~ ~ ~ ~ ~-c.e ~4-t.~ ~ <br />(/ocation and work descnptionJ <br />Project manager / contact / private engineer: 1~, ~ ~~, ~,, a~ ~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />~ ~ ~~ (widrhsl ~ ~widrh/ <br />Concrete walks: Setback / Curbside <br />(/englhl (widihJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~~ ~ Assessments Private <br />Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />C~ <br />( %, fixed) <br />( ~-t~ f ~~au°y ' ~~"f, .; ~ `j ~ : ~d~ ~ <br />~. <br />APPROVED: ~.~--~'° ~ <br />Project Manager ~ ' ° ~ Date ~' ' ~ ~~ <br />Principal Engineer ~ ~ Date ~° ~ ~ <br />Facilities Manager _ Date <br />City Engineer Date `~D,~ <br />FOR USE BY ADMINISTRATION ONLY <br />,~~~,~~~~~ ~ <br />Capital Project Na • ~ ~ ~% ~ ACK ~ ~~ ~ ~~ ~'~~ ~s ~ ~ ~ ~ ..~ ~ ~ ~ ~ <br />, <br />~ ti <br />, <br />_ ~. , „_ <br />~ , , ~ <br />~~ ~ <br />~o~ _ ~ ,,.p..._ ~ ~~' ~.:~ ~..y~ ~`` ._ .~ <br />~ Title ~.~1:..~~ 1 1 ~`} ~' , . ~ . <br />„ <br />~, r ~.~ <br />~ ~ ~ ~~ ~~ .~ ~ '~ ~-'' ~ ~' ~ ~ ~~ <br />Assigned y - ~ ~ ~ ~ ~ Date ~ ~ ~ ~.;~ <br />Accounting 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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />~~ m ~ ~~ ~ ~ ~- ~~ ~ ~~'~~ ~, i ~, ~~ ~~ ~ ~ ~~ <br />~~ ~ 3 ~ `~ ~. <br />