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~ <br />i~-.~s-U`( ,"'G~:J._ Iid <br />~ PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />/1/ 244 E. Broadway <br />u ~ ~ ~ / ~ / / ~~ (541)6820- 560401 <br />Service ID: ~ SID ?~ PB _ GL ~ JC ~ JE _ <br />Project title: P~P 5 enevc~, ~(~.C~ .-~c~m R~obS ev e~l~ (~ivd •~O ~~'~'~Ve <br />~ (/ocation and work descnptionJ <br />~ <br />Project manager / contact / private engineer: M G."E' ~ Ro d r i <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/englhJ <br />Wastewater <br />Signal <br />(widrnJ <br />Stormwater <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City X Assessments Private <br />Bike lanes / paths: <br />(w~drn~ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer- <br />Date-~_~~-°'~/~ ~~~ <br />Date _ <br />Date - <br />Date ~ 1~~~ '~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~-~~'~ ACK ~~3°'~ ~~'~2- ~X~~y,(,'1(, )~~,,5"~,'~~~ <br />GL Title~~~ ~~~`i~-l~Cc> 0~r~~Sr~~/~2,1~ '~ i~ `7 `~~`' <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 ~nitiating 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 /ULY2004 <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />