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~n <br /> - RROJECT AUTHORIZATION FORM ~,,.y------.. Engineering <br /> ~--J Public Works <br /> <br /> { City of Eugene <br /> 244 E. Broadway i <br /> ~ Eugene, OR 97401 ! <br /> p ~ (541) 682-5560 <br /> Service ID: O SID PB GL ~ JC _ JE~ <br /> Project title: C7fOj dCtr1 ~ ArY~~PM^?s Park. i13r~ e.~qt.,+ <br /> pocarion and work desciip7ion) 1 <br /> I <br /> <br /> it Project manager /contact /private engineer: ~ ~'3 i .~p r wi. j 1 P ? X S 3 ~ ~f <br /> ' Ore to n~ r~rust r'o.-~r ~P~- b~r~rJ~e. 4urlL1 :~~<;.P~a fe ~c~ecc-x~ rvf.c~ <br /> PROJECT SCOPE: <br /> -Fi c~ rr) CTV l d.G L-, <-r tt r <f l N 4 ~a d P t £ ~ N~A <br /> Paving: ~ Bike lanes /paths: j <br /> ,c ~ (widlhsl (width/ <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater fro Stormwater 0 Landscaping ~ Er vS r"`' ru~-~ <br /> Signal 1Uy Street lights Nv ROW required JV~ ~ <br /> New building construction ~ Planning, other Remodel <br /> I <br /> F DING SOURCES: <br /> City ~~1 Assessments Private Other department ~ <br /> A Account code <br /> ,;-~t <br /> Fed /State 1 County !FAA fixed) <br /> COMMENTS 1 SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> i <br /> APPROVED: ~ ~ J Z~ ! <br /> Project Manager ~ Date 1 i <br /> Principal Engineer Date ~ ~ ~ 2 ~ <br /> 4 <br /> Facilities Manager Date <br /> ,I <br /> City Engineer- ~ Date ~ '~jog~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> c~ , <br /> Capital Proje"'ct No. 9'S/~~ ACK 31~' 9.335'/ xk k X - / 7S/~a7 <br /> GL Title ~'"a ~~^'r d`am'' S ~rv+ e-r-~y ftCCeSS <br /> J ' <br /> Assigned by Date / oS b w , <br /> i <br /> Accounting by Date it <br /> 1 <br /> ATTACHMENTS: <br /> ~ Budget Estimat~,W~~mc~i i?~ ? 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 i <br /> ENG 415 WHITE !Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 j <br /> i <br /> I <br /> <br />