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¢ F ~ ~~~~ . . . ' . <br />1 +~ <br />~~; ~ ~ ~~` ~~ ~ Engineering <br />~ROJECT AUTHORIZATION FORM P„b~;~workS <br />~ City of Eugene <br />~ 244 E. Broadway <br />Eugene, OR 97401 <br />. . ~ ~ ~ ~ t n~ (541) 682-5560 <br />Service ID: SID_ PB _ GL _ JC JEl~yt <br />Project title: ~ ~~ i- ~~`~ fc~~l rGf:~~t~E t ~~, (~of~.G. 1.~ <br />(/ocation and work desc~ptionJ -~~ <br />~ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />~~`~. <br />Pavin Bike lanes / paths: <br />~ ~,) ~ (widlhsl (widlhJ <br />-~nere~ walks: ~p~ ~ Setback / Curbside <br />(/ength) (widlhJ <br />Wastewater <br />Signal <br />Stormwater <br />Street lights <br />New building construction Planning, other <br />Landscaping <br />ROW required I <br />Remodel <br />FUNDWG SOURCES: <br />Cit~ ~ Assessments Private Other department <br />j Accountcode - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />`~~ -~, ~ va.., d ~ d`'~..~~ • L~,v a~a u~ -r c_ ~ ~ ~ ~ `i `°j ~ 2 ~.,. (_ ~ ~. ~ ~ <br />>~~rrc~ ~...~,~ i k ~ R a.~ n.- o~..-~-+ --€-~ `~'c~ c~ ~,~.-1 v~~ r 1~~ I~. <br />APPROVED: <br />Project Manager ~ Date ~"~~'~ ~~ <br />Principal Engineer . Date ~' ~: ~~~ <br />Facilities Manager Date <br />City Engineey G -y--~' Date %' ~~ <br /> FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~L• t `-~' ~ ~ ACK -J ~ ~ ~ ` ~~~ ~ ~ ~~~ ' ~ ~ ~~ <br /> <br />~. <br />GL Title <br />~ ~.. ~ ~ ` <br />~ \ ~ <br />Assigned by <br />~~~~~ <br />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 0 Public Improvement PermitApplication ~ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />