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iu-.~I-~Ji` t',;; i <br />. I .. <br />~ ~~ ~ <br />~\ <br />~ PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: SID /~ PB _ GL~ JC . JE _ <br />Project title: E~PP Co~lr1 AV C c~h ~~~n ve ~ C o m h~ f~ k~ ~~, I~ as1n~Y1,a ~ pn St <br />(/ocation and wor/r desc~ip/ionJ ~ <br />H '~ q1n 5'~ . <br />City of Eugene <br />244 E. Broadway <br />~ / , y,Q~~ (541) 6820- 560401 <br />'~ 5 2 ~ ~ 4~• <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widrhsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widlhl <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />Project manager / contact / private engineer: ~ G~,~ 2p C~ 1^ 1 A U~S <br />FUNDING SOURCES: <br />City ~ Assessments Private <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 Engineer <br />Facilities Manager, <br />City Engineer <br />Date / ~~~1~/ ~~ <br />Date <br />Date <br />Date ~'3~ ~""d~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~~~.iZ~ ACK ~ ~ ~ =/J~~'- ~ ~lC~~C~I~Qj~'~~~~ ~j~ <br />GL Title ~~~ I~ ~/ 7`~' s~G~S~i vl~~~i1 -{tipY~ <br />Assigned by 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 ^ Public Improvement Permit Application ~l Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />