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~ ~ ~ <br /> <br />PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> <br />~ City of Eugene <br /> ~ <br />~ 244 E. Broadway <br />s <br />~ ~~ ~~ <br />ce ID: <br />~~s ~ <br />SID ~PB " G _/~ ~ <br />,f ~ ~"f ~ <br />~~ Eugene, OR 97401 <br />(541) 682-5560` <br />. <br />Project title: _ ~~ C~ <br />l~~ ~ 1 ~'(~ a <br />~~ L _ JC <br />~'~ ~, ~-~~'~ ~~ JE _ <br />(/ocatioh and woi k scriptionJ <br />;; <br />Project manager / contact / private engineer: ~C1 ~~. ~, ~ ~~ ~''~ <br /> <br />PROJECT SCOPE: <br />Paving: Bik <br />l <br />/ <br /> ~W~drhs~ e <br />anes <br />paths: <br /> <br />Concrete walks: (widrhJ <br />Setback / Curbside <br />(/engthJ <br />Wastewater (widlhJ <br />Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SQ.URCES: <br /> <br />City __ Assessments Private Other department <br /> Account code <br />Fed / State / County / FAA (% <br />fi <br />d <br /> , <br />xe <br />) <br />~OMMENTS /j~ <br />P <br />ECIAL PROJ CT INFO. / INTERDEPARTMENTA L WORK DESCRIPTION: <br />~ <br />~ <br />'~'~7'i~~ ~°~'.~~~ ~~,,~ ~;'°~ ~'~ ~ ~.~~"r ~ _ ~~ /L.0 C,, (1 <br />APPROVED: <br /> <br />'- °"' Date ~~~ <br />"~ ~ •~"°" Date -- <br />~ ' ~ <br />Date <br />~~~_,. - Date ~ c' ' , , <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~ ~~ ~ ACK ~~ ~ ~ ~ ~ ~~~~ ~~~~~~ <br />GL Title _!~..1 ~~ ~ L ~ ~C~1 ~ ~;1/- ~~~( ~Y~ <br />~ <br />Assigned <br />Accounting by <br />Date ~ ~~~~ <br />Date <br />ATTACHMENTS: <br />~ ^ Budget Estimate ^ Develo er A reement <br />k p 9 ^ 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 />; <br />i <br />~ ~ ~ <br />,, - ~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />