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PROJECT AUTHORIZATION FORM ~U`~ Engineering <br />Public Works <br />~\ City of Eugene <br />` 244 E. Broadway <br />~ , ~/~ Eugene, OR 97401 <br />~~ (541) 682-5560 <br />ii <br />~~ Service ID: SID PB - GL _. JC ~ JE <br />II project title: k~-~ Py S 2Dt.~a~Z ~~ ()j11t~tATC.~1~~~ <br />~` n <br />Project manager /contact /private engineer: ~~X ~ ~ AU \ ~ <br />PROJECT SCOPE: <br />Paving: <br />D~ 30~ <br />~eenere#e walks: <br />(/ell <br />Wastewater <br />Signal <br />New building construction <br />,~, , S <br />(mil <br />Stormwater <br />Street lights <br />Planning, other <br />Bike lanes /paths: <br />(widlhJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />'~ FUNDING SOURCES: <br />Cit Assessments Private Other department <br />~ b~ Account code - <br />Fed /State /County /FAA <br />COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br /> <br />aa-2,f~..~-,~ I k F2.o a•. r.~ o,~.-~+ -~ `pca~.c s~ tNl n -,,z-r 1001L <br />APPROVED: <br />~ <br />~-Z$'~ O~ <br />Project Manager Date <br />ineer <br />al En <br />Princi Date "~ <br />g <br />p <br />Facilities Manager Date <br />~~b <br />City Engineg}' ~ Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 1 ~ ~ ~t° ~ ~ ACK ~~'') ~ 3 ~~ ~ ~-xX'~`~` ~ ~ ~c~CfXY <br />GL Title ~ ~ ' `- <'~-`~ ~ ~" <br />~~~~ <br />Assigned by Date <br />Accounting by Date S- <br />ATTACHMENTS: <br />udget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~r-` SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />City Engineer's Initiating Order ^ Public Improvement Permit Application (~ Map <br />Q Request for Scoping Meeting <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 <br />