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f~ ~ J <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: ~~ C~~ <br />Project title: ~ ra~ ' ~ I r `-tt~L; a~ V~-~ <br />(location and work description) <br />SID - PB GL ~ C JE ~`l <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />Project manager /contact /private engineer: ~ ~-1 ~ 1 L`„L~,1 n6 ~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater <br />Stormwater <br />(width) <br />Signal Street lights <br />New building construction Planning, other <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other department <br />-. ~ Account code <br />Fe /State County /FAA %~~ Q-~--~ E~-®~ ~x ~~~ '+' (%, fixed) <br />COMM /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />kP ~ `..~ . C7 f~ ® ~ ~~2. ~ ~ ~ 1'--E i~ f C X13 ~ L9 ./' ! <l.- G, ~ ~ St G9 <br />APPROVED: <br />Project Manager ~ Date ~ ~` ~ ~ ®~ L° <br />Prin 'p I En ineer Date Z`" ~ " <br />® ~ anager K.c~ `~'~--'~ Date /Z "_ '~ <br />City Engineer Date fit/ / ~.~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~, ~L~ ACK ~~~ ~~~~ ~~~ ~~~` ~~ <br />N <br />~` . <br />a <br />a <br />Cis <br />~. <br />Ct` <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 ^ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 <br />Accounting by Date <br />