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~ ~ <br />~ <br />PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br />~ . <br /> <br />~ <br />~ <br />~ <br /> <br />~ ~ ~ <br />~ 244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Service I~: <br />` SID_ ~6 __ GL _ JC _ JE _ <br />Project title: ~'~`~~~~~.~ -~ ~I`i ~ ~'~ ~{~ <br />(/ocalion and work desci~-ipgti~oyn,J~ q', ~/ ~-^ <br />~~` ` ~'1. C17-ti ~..~ `~ \ ~ 1, p^~ ~ v <br />V' ~' 6Pi~ C.>-/ ~ <br />.G <br />\ <br />Project manager / contact / private engineer: ~~~ . <br />_ <br />~~~~' ~ 1 6°~ (~~ ~1~~.~, <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: - <br />(/et~gthJ <br />Wastewater ~ 0° Stormwater <br />Signal <br />New building constructio <br />Bike lanes / paths: <br />(Wiurn~ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Other department <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Enginee <br />Faciliiies Manage <br />City Engineer- <br />. <br />Date ~~~ Z~ I C% ~ <br />Date ~Z~ <br />Date <br />~ate _ _i 1 ~ ',1'~ -D 7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ACK ~ ~~ ~! ~ ~~ <br />GLTitle ~-~ ~ _ ~ ~~ '~~a~~ <br />Assigne by Date ~/ ~ / <br />Accounting by <br />Date <br />ATTACHMENTS: <br />! ~~ . ~~ ^ Budget Estimate <br />l <br />- ^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />e ~ ~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY200y <br />(widfhJ <br />Street lights <br />Planning, other <br />Private ~ <br />