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~~ ~ <br />PROJECT AUTHORIZATION FORM ~~1`~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~ Eugene, OR 97401 <br />~ ~~ (541)682-5560 <br />Service ID: `~~~ ~ SID PB GL _ JC J~ <br />Project title: .°~f,('~ J~4eJ~ ~~,~/,~ ,~% Il~~/?/O~S ~ 4~d~TiDs~~' iJ/~T/{~ C''~~"~ <br />(/ocation and work desc~iptionJ <br />Project manager / co~t~t-/ pri~e~~gir-~~- ~o~l eU ,~30A•d~d~~'! <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ <br />(widlhJ <br />Concrete waiks: Setback / Curbside <br />(/englhJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />k~ ~/~~ / 6 <br />New building construction Planning, other Sl.~.t.[ ~' Remodef <br />FUNDING SOURCES: <br />City Assessments <br />. State L.~Pnac-. <br />~MMEDITS / SPECIAL PROJ <br /> <br />r ~~ <br />~~,~` ~~' <br />Other department ~~S ~D,~ <br />Account code ~~/~ ~33~ 4~S'"`93Z ~~~"~~ <br />( %, fixed) ~~~~ <br />INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />d~ -~~-n~ ~~ ~i fd i~ h Lf~C~ Z-~- ~~-' <br />APPROVED: <br />Project Manager <br />Principal EngineE <br />Facilities ManagE <br />City EngineerL <br />Capital Project No <br />GL Title <br />Assignec <br />Accounting by _ <br />Date <br />AT~ACHMENTS: <br />j ~~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 />~ = ~o.]~`Lr~~~,4..~ <br />, <br />FOFi USE BY <br />`~` ~J C.C.~7 2... <br />Date <br />~ Date ~ <br />"-- Date ~ - ~ <br />Date ~ <br />~ <br />q l'~ ~ <br />ADMINISTRATION ONLY <br />ACK ~ ~ I - ~ =7 ~~ "~ ~ X~:~ ~ ~ ~~~~~ A~~ ~' ~~ ~ <br />~ <br />~ <br />Private <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />