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~ ~ ~ <br />~ ~~~~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />Service ID: ~~~ 1 SID_ PB _ GL _ JC <br />Project title: ~.t?,~__ ~ ~ S ~ ~,~i,osaq ~ I~ ~Q~G. (~~ <br />(/o ation and woik desciipiionJ <br />~"~ <br />Project manager / contact / private engineer: ~ ~ <br />PROJECT SCOPE: <br />Pavin Bike lanes / paths: <br />~•~~ ~~~ ~widrnsl ~ ~widra~ <br />~ walks: Setback / Curbside <br />(/engthl (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />Cit Assessments Private Other department <br />~~_~ Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />~~t~.1 ~ 1p, t t3a.sr,~ S ~~.~ - ~~ ~4t ~ 'E~.~-E.la ~ `~ J ~J "~' ~.... ~ 3 ~ 4 ~ <br />~ ~~-~.~~ I !~ F2~ ~ ~ ~~-n-~- ~ ~-~+ °~a ~v~.t ~a : ~~~ ~ ~r ~..r ( c~~ ~ <br />APPROVED: <br />Project Manager ~ Date 3"°'z-~" ~~ <br />Principal Engineer Date ~ ~`~~~_ <br />Facilities Manager Date <br />City Enginee ~ Date ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~ ~~ ACK ~ ~~ ~ >~~~ ~ ~ X ~-I~l` ~ ~ ~:.~-c'~' <br />GL Title ~~C1 'cf`~_ `~ ~`~.-~' ") ~ <br />Assigned by \ Date ~~ I ~ ~' <br />Accounting by Date <br />ATTACHMENTS: <br />~' udget 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 C~ Map <br />^ Request for Scoping Meeting <br />City of Eugene <br />~~~ 244 E. Broadway <br />~ Eugene, OR 97401 <br />'~ r~~ (541) 682-5560 <br />JE~ <br />`~ <br />°~ <br />~" <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />