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~~ ~ <br />~ _ ~ .~~ ~ ~.:~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />`~ Eugene, OR 97401 <br />k,~~/ ~~ (541) 682-5560 <br />Service ID: ~~~~ SID 6~ PB ~GL ~JC `" JE _ <br />Projecttitle: ~~€~B ~°t~~r"~3t'! ~~eV~r`~vF s~~,-~~77t~.~1.~ ~'/ZO~~~.S <br />(/ocation and work desciiptionJ <br />Project manager / contact / private engineer: ~ ~ ~~ ~'"~~~~ ~ ~` <br />PROJECT SCOPE: <br />Paving: <br />(wrdrhsJ Bike lanes / paths: <br /> (wid7hJ <br />Concrete walks: Setback / Curbside <br />(/engthl (widlhJ <br />Wastewater Stormwater Landscaping _ <br />Signal Street lights ROW required <br />New building construction Planning, other ~`~~~-~ D~S~~~ <br />r Remodel <br />FUNDING SOURCES: <br />City ~c.~-p ~VV 6v~ t 31~~,ssessments Private Other department <br />~ ~~ ~ ~ 1 "J~~ ~~}~ Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~,Q ~5 fS .~- ~ L`~G7, t7(~L3 ~~..~~~% ~~L '~~ ~°~?' ~..5~ ~`'~~C:~~ ~/d'~'1C:1-~ <br />~. <br />,' _ dnl~a~.~~~s P~~~E ~" ~~a~~~~~~~~r'a' ~ ~~~~rr ~c~~'~~~~achl +~F~~zr7~~~'a~ <br />_.... C . C' {~^~J'ba Yr-`~`9 v+~~ j ~ {~--'ld( 8 ( b~-y' ~ ~ °T' S~ ~ ~SY~ I w~_G~" !J ~2 ~ ~r ~1 ~ ~ IS ~ ^ 1 /~-GZ~~ f9' E3 f,s~ ~~~' <br />~G~~L~,7~ ~ `a~'~~ ~~t1~~D8t~d~. ~~ d~'lr~~.ld~'~,vt3 Pea~ ~6'!'t'~ F~ S~~-tl/~D~~ ~~9 ~i6'~f~Pc-P <br />APPROVED: <br />Project Manager ~ Date ~~~~~ ~ <br />Principal Engineer "~~ Date ~~S' ~ <br />Facilities Manager ~~~~,~ Date . <br />City Engineer. <br />Date ~ ~~, ~ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ / ~ ~°7 1 ~ ACK ~ ~ ~ ~ ~~~ ~~~~- ~ ~~~ ~ ~ <br />ro _ a, . . <br />GL Title <br />Assigned by <br />Accounting by <br />Date <br />AJTACHMENTS: <br />,-- . ~ Budget Estimate ~~sary-vnce.~ ^ 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 /UL Y2004 <br />