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PROJECT AUTHORIZATION FORM <br />~ ~ 1~ <br />~ <br />~~~ <br />Engineering <br />Public Works <br />Service ID: ~~ <br />Project title: ~~~~~- ~-~t~T~r~- <br />(/ocation and woik desciiption) o <br />~~ City of Eugene <br />~ ~ 244 E. Broadway <br />~ ' ~ ~~ Eugene, OR 97401 <br />(541)682-5560 <br />SID_ PB _ GL _ JC _ JE _ <br />' ~ ~~riv-,~ ~~ ~7~ ~S ~ F 12 . <br />W <br />/ contact / private engineer: ~7 C~~ ~. S~w~. ' <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br /> (widlhsJ (widfhJ <br />Concrete walks: Setback / Curbside <br />(/ength) <br />Wastewater ~2 ~n~' f-~' (widlhJ <br />Stormwater <br />Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />Cit ~Z Assessments _ <br />~3~k~ 5- ~Iz~P - ~ $S~f '~ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />-vr 6 _ . 1 _ 1 (1 i e <br />'AL WORK DESCRIPTION: , <br />~~-~.~,~, PPZ-~..~~.~ 1'r~.-4z., <br />( %, fixed) <br />APPROVED: .4 <br />Project Manager Date ~_~ ~ ~ i ~ ~ <br />Principal Engineer Date _ t~-~1 ~ ~ <br />Facilities Manager Date <br />City Engineer ~ , Date _1Z~~`N( G~ <br />FOR USE BY ADMINISTRATION ONLY <br />.---- <br />Capital Project No. ~~~ ~ ~ ACK ~~~ ~ [ ~~ ( ~~~~~ ~~ ~l _ <br />GL Ti <br />Assig <br />Accounting by <br />Other department <br />Account code - <br />Date <br />~ACHMENTS: <br />~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />`'''' ^ SDC Bud et Worksheet ^ En ineerin A reement ^ <br />9 g~ g g F~,ngineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application C~Map <br />~Request for Scoping Meeting <br />P rivate <br />iv <br />i <br />~ <br />i <br />0 <br />C7~ <br />c; <br />ca . <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />