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~, ~ <br />. b ~~ ~'_~~~~ ~~y ~. ~ ~ . . <br />~~fiOJECT AUTHORIZATION FORM ~~" ~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~~ Eugene, OR 97401 <br />~ (541) 682-5560 <br />Service ID: "~'~6 ~ SID_ PB GL JC JE~ <br />Projecttitle: ~'S/~'~ !~~c1T~ ~/.~.~`S ~4'i ~/~y?~~irS /~~s4Tso.~~...~`' G.//?"1~frf1 ~/~,~`~ ~'iJ-s <br />(/ocation and wo~k descnpfionJ <br />Project manager/ c~ntact / privat~errgineer: - ~.~'o~l R~1 ~C1~h'`o4d~'°I <br />. ._ .it?a ,,. <br />~. <br />~'.. <br />~ <br />r~~ <br />~ <br />. ~_~~~ ~' ..... .. .. <br />:'}zE~;': . <br />: !a. <br />~„,~ <br />c~.*.: <br />PROJECT SCOPE: <br />Paving: Bike lanes ! paths: <br />(widlhsJ (widlhf <br />Concrete walks Setback / Curbside <br />(/engthJ (widfhJ <br />Wastewater Stormwater ~ Landscaping <br />Signal Street lights '' ROW required <br />t~,t " ~~/A! s' ~ <br />New building construction Planning, othe~ ' SJ~.~J S Remodel <br />FUNDING SOURCES: <br />City Assessments . Private <br />S~ tate / /.~r'- <br />M~ME TS / SP CIAL PROJECT INFO. / INTERDEPARTMENI <br />" f t'Gfrv~~~~ rd ~ ~ r~5~. ~ ~,~v4„~• ~ <br />... . !: ~~ f . <br />APPROVED: <br />Project Manager <br />Principal Engine~ <br />Facilities ManagE <br />City Engineer~ <br />Capital Project No <br />GL Title <br />Assignec <br />Date <br />~ Date ~ ~ ~ <br />""'°• Date ~ <br />Date ~ -~ U~ <br />ADMINISTRATION ONLY <br />_ ACK ~.~" ~ t - ! ~ ~-~-~'~4.~C~ ~ ~ ~SVJ d ~ <br />Accounting by Date <br />' " t` °-~- .~ " ,/.,7 ,.f,~ <br />A ACHME~I;1'S;,r ::,~ . , ,..,~,~ <br />[Vj~Budget Estimate~' ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ <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 /ULY2004 <br />~~`_ ~~~~~~ <br />FO USE BY <br />`~~~~1~..~ <br />h" <br />~ /~ ~ `i <br />.i-~1.~ ~~ . ~q.4/ <br />~~ ~~. <br />Other department ~~ -5 ~~ <br />S~ ~ ~ <br />Account code -='/~- ~-~3~ ~ ~-`"~"~~~. ~t:~°~~~ <br />( %, fixed) ~ <br />AL WORK DESCRIPTION: ~` ~~~~ <br />~ E ~ t~;~ ~ ~';~~ ~ ~.. { ~=~ _ t~-t..e ~~ <br />~. <br />f~ <br />~ <br />~~~ <br />~ <br />~ <br />~~- , <br />_ _ ._ _ <br />