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~-G ~ <br />~ <br /> ~~ <br />PROJECT AUTHORIZATION FORM ~~ ~ Engineering <br /> Public Works <br /> <br />~ <br />~ City of Eugene <br />244 E. Broadway <br /> <br />L„~ (q~ ~ ~ <br />Service ID: <br />, ~ ~ ~ ~ ~ <br />ln~ <br />" Eugene, OR 97401 <br />(541) 682-5560 <br /> <br />Project title: ~~e~ S ~--~~ ~ h r~ ~~'c~~c? C.~- SID~ PB _ GL _ JC _ J E <br />1° <br />(/ocation and work descnptionJ <br />Project manager / contact / private engineer: _~c~~D ~Gt1 ~ e't~ F,~ ~} ~j,~ j <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engthJ <br />Wastewater <br />Signal <br />Stormwater <br />Street lights <br />(wid/hJ <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City f 4~~ ~,~ ~ Assessments Private Other department <br />~l~~ ~~~U~~ Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION~/: <br />(~i1 t nCfi 1 i!%~1'tl I'1/>r . / o ~..~/ ~-' 1'7~ 'fYG) , ~. .D t`1'R~Mr ~ i~ ~! `-lK <br />( %, fixed) <br />r r • ) .. <br />'7 OU! , ~~'v~lC~ ~ ~~ Gy"?'1'1 ~ ~ ~ ~~S ~ ~" I c..X.J VL ~ ~ <br />APPROVED: <br />Project Manager ~ -~ Date ~~ Z~ f U4~ <br />~ .~~ <br />Principal Engineer -° C ~' ~~~~N Date ~7 ~~U ~ <br />~ps Q ; ~~--~ c <br />ti-aL-rin~~~ . ~~~ . ~ ~-- Date ~=,°~ _'° C~~ <br />City Engineer Date <br />f-i ~~lcr`9 ' i~ ~ ~5~~ ~~" z 2~~d <br />~ ' l ~ <br />FO USE BY ADMINISTRATION ONLY <br />Capital Project No. B `~ ~ ~ ~ ACK .~ I I ~13 3 S (,~ X,~~ ~ ~ -~j ~,~ ~, <br />GLTitle ~°~"g' ~ ~t~- ~1~d <br />Assigned by Date ~ ~ __ <br />Accounting by Date <br />ATTACHM ENTS: <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 />Bike lanes / paths: <br />(widlhJ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel - ___ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />