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<br /> j ~ ~ <br /> T ~r- , <br /> `PROJECT AUTHORIZATION FORM ' Engineering <br /> r` ~ Public Works <br /> City of Eugene <br /> ` 244 E. Broadway ~ <br /> ~ Eugene, OR 97401 <br /> ' 541)682-5560 <br /> Service ID: ~ ~ SID~PB ~G~JC ~E ~ ~ <br /> <br /> ~ Project title: ~ j~ ~ ~ ~3 ~ ACT Il.) [ i~. i~ i, ~L ~ t1) 1 fU C.- <br /> (location and wndr desc~iptionJ <br /> <br /> I ll _ <br /> Project manager /contact !private engineer: ~ ~ L~~t2 ~ < < q U e <br /> i <br /> PROJECT O E: <br /> t 1' i <br /> Paving Bike lanes /paths: <br /> (wid/hsJ /width) <br /> Concrete walks: Setback /Curbside <br /> - /length) (widlhJ ~ <br /> i <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel j <br /> FUNDING SOURCES: ~ <br /> City ~ Assessments Private Other department <br /> ~ ~ 3 Account code <br /> j~' Fed /Mate /nCounty /FAA fixed) <br /> tier " COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ' S~ iii ~ y,n ~ ~ j ; r-- ate. ~ n ~ ~ ~ , ~ ~ 2.115 cb ~ <br /> _ "f~ , <br /> C.eA-.~:: j ~ c I a.' ~ F'' J ~ j, r, r~ ,a f" -cal fn tom... ~ u~ vj1._:...F.t „T" S ~ <br /> ~ i <br /> a. <br /> APPROVED: ~ r / ~ <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ r; I <br /> n FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1 G-~~ ACK / 33 - ~3 3~~ -G x k x~9~~ ~ <br /> GL Title / ~ U~~ L>' ~ )e-s, ,e ~ ~~n na t~ <br /> Assigned by ~I~~',"'~ Date <br /> Accounting by Date <br /> ATTACHMENTS: 1 <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> <br />