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~__-- _._ _ . <br />~ ~~ <br />~ '"~ ~ Engineering <br />Public Works <br />PROJECT AUTHORIZATION FORM <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />541) 82-5560 <br />y ~, <br />~~~~ SID- PB - GL - JC - JE~-L f <br />Service ID: <br />~-- L~ F~ F°~i~++T ~ r~r~ ~~~ L <br />Project title: ' <br />(locati n and work desciiptionJ <br />~VL. f r~ ~ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: gike lanes / paths: <br />~w~dre) <br />Paving: ~ ~wiarns) Setback / Curbside <br />/ ~ <br />Concrete walks: ~ ~~P~glh~ (widrn) <br />Stormwater Landscaping_ <br />W astewater <br />Street lights ROW required <br />Signal . ~,,e,'~, /k~~• , <br />iA ~ Planning, other Remodel <br />New building construction <br />FUNDING SOURCES: Other department <br />Assessments _____--- Pr~vate <br />City Account code <br />( %, fixed) <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />,~ _ - ~~2. or~.. ~ <br />~ <br />~f~ p~ <br />b/L1L. -4~ <br />n~~ u~~ <br />~' ` Z _ <br />~, , /~ EG~.. P h.0 ~, <br />- Lo ~ ~~ ~ `~ •- `~ Cn ~ Z- <br />a ~. ~- i F~~ 1` ~-I <br />; <br />APPROVED: /) ~,_/` ~ "~j ~ y ~~ <br />//~,~ Date ,,~ ~~y~ ~ <br />Project Manager Date ~ ~ <br />Principal Engineer ~ <br />Date --- ~ <br />Facilities Manager s~ ~,~' __ Date ~l~ ----~--- <br />City Engineer <br />FOR USE BY ADMINISTRATION ONLY <br />~~.~ ~~ ACK ~~ ~ '°'`1 ~~~ ' ~ <br />Capital Project No. <br />,. , _ /` r""~ t -~.... ~,-~- ~ <br />GL Title ~ ' ~ <br />, ~ Date _ , ~, ~ <br />Assigned by <br />Date <br />' Accounting by - <br />!, ATTACHMENTS: ^ Engineer's Report On Improvement Petition <br />^ Budget Estimate ^ Developer Agreement <br />~ ^ Engineering Service Work Request <br />~ ^ SDC Budget Worksheet ^ Engineering Agreement <br />: ^ City Engineer's ~nitiating Order ^ Public Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />JUL Y2004 <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager <br />~ <br />