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~: <br />_ <br />" ~ <br />~ <br /> <br /> ~~ °`~ <br />PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br />~-- 244 E. Broadway <br /> / Eugene, OR 97401 <br /> <br />Service ID: ~~ - ~ <br />SID ~ ,/ <br />'! PB <br />GL ~! ~ <br />JC V JE (541)682-5560 <br /> <br />Project title: F~ Y " <br />~ _ <br />`~ • ~ _ <br />' ~~~ ~ ~~-` <br />(/ocati n and work descriptionJ <br />~ <br /> <br />_ ~/_~~ ~ ~ -`~' "~. ~O , <br />~l~ ~ ~~E f ~ <br />~ ~~~~ t. <br />f'~.~ ~ <br />Project mana / contact / private engineer: ~~-l 't~r~ ~ /C~~ <br /> PROJECT SCOPE: <br /> Paving: <br />(widrhs) Bike lanes / paths: <br /> <br />Concrete walks: <br />Setback / Curbside (wid7hJ <br /> (/engthl (widlhJ <br /> Wastewater Stormwater Landscaping <br /> ~ <br /> ~ ~ ~°'~-~ ~j~~ Street lights ROW required <br /> New building construction Planning, other Remodel <br />APPROVED: <br />Project Manager Date~ ~ <br />Principal Engineer Date ~~_ .~-~"~ <br />Facilities Manager. Date <br />~- <br />City Engineer~° ~~"r ~ Date "< ~~' ~~%'~3 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _ ~ ~ ~ ~ ~~'I ACK ~' ~ ~ 3~ J~ ~C~JCJ~+~ ~ ~ ~ ~~ ~ <br />GL Title ~~~Si ~~,,~- ~~ ~~ {~(-~~l ~ ~`-~ <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 '~ #4a~- ~~~'~~ ~~ ~.~-- <br />~Request for Scoping Meeting <br />_~ <br />_~ <br />f <br />O <br />CT <br />C` <br />+J~ <br />~'~ <br />~v <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />FUNDING SOURCE$: <br />City _~i~ Assessments Private Other department <br />Account code <br />Fed / tate / County / FAA _ ~_., l~ ,~ ~ ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTa~ wnRK nFCrRiaTinti• <br />