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_ . ° ~ ~~ ~.~ <br />PROJECT AUTHORIZATION FORM ~~-~ ~~ Engineering <br />Public Works <br />" City of Eugene <br />'~ . 244 E. Broadway <br />Eugene, OR 97401 <br />Service ID: ~ ~ '~~" ~ ~ ~ , / (541) 682-5560 <br />SI~ ~6 _ GL JC os JE <br />Project title: ?~ ~ I ~" ~ ~~ ~ 9~ 1= (, c~,/l~~,~~~ C~ ~( ;~~~ <br />(/ocation and wo~k desc~iptionJ <br />y.,~, ~ <br />Project manager / contact / private engineer: ,'t '~ '~~~'~ <br />PROJECT SCOPE: <br />Paving: ~ ~~~~ µ~ te:> ~' P ~~ ~ ~? ~~ ~ ~~--~j~ ~ ~ Bike lanes / paths: <br />(widlhsf (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engl.-,f (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel _ _ <br />FUNDI G SOURCES: <br />Cit ~~- ~~`~ Assessments Private Other department <br />~~.~~~~~,, <br />~ _ r~ Account code <br />Fed / State / County FAA ~ ~.~ ~ ~ ~ ( ~ ~~/~ ( %, fixed) <br />_, <br />COMMpEyNTS / SP CIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: ~y ~/, <br />! 1 . . e ~ ~ _ i~l .-.. e ~. __ 6 4~ _ ! /~ 7 , f ~ Y! <br />Li ~"~ ~ ~ `4s^'~ <br />1 ~ <br />! ~ ~3~,.. 6 <br />~~ ~ ~~ 'f - l: 1 F'~ ~°-. <br />APPROVED: ~ <br />~~~~ -~_. L ~- ~ C3 ~ '~~~_~_- <br />Project Manager Date <br />P inci a ngineer Date ~ <br />Manag Date <br />City Engineer r s }~" Date ~ ~-~o ''C~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~ 1~ ~~ ACK L~~~ -` ~~ 1.~:~i~ ~"I d ~~'~ t ~ <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 ~Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />Accounting by Date <br />