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A c . <br /> - R'R,OJECT AUTHORIZATION FORM S ~ Engineering <br /> j Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / G~ (541)682-5560 <br /> Service ID: ~3(O ( SID ~PB ~ GL ~ JC ~JE <br /> { Project title: <br /> (/ocalion and work descnptronJ f ~L <br /> ~-~itv~ 5~-- l3u'~Ue ~ ~,Z~ L~Q <br /> ~ Project manager /contact !private engineer: e. ~v <br /> PROJECT SCOPE: ~t~ ~ ~ <br /> Paving: ~ ~I~+ Bike lanes /paths: <br /> /wrdlhsJ (widlhJ <br /> Concrete walks: /iBn9?hJ Setback /Curbside <br /> (width) <br /> I Wastewater Stormwater Landscaping <br /> f <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> L <br /> ~ FUNDING SOURCES: <br /> 1 <br /> City X Assessments Private Other department <br /> Account code <br /> r~ Fed /State f'~ounty /FAA <br /> - fixed) ~ <br /> COMMENTS! SPECIAL PROJECT INFO. I INTERDEPARTMENT WOR DESCRIPTION: ~ <br /> ~ <br /> Q i <br /> f,~Od ~ <br /> ~ <br /> <br /> i* <br /> Y. APPROVED: <br /> Project Manager ~ Date ~ ~ f <br /> Principal Engineer Date ~ ! <br /> Facilities Manager Date / <br /> City Engineer - Date <br /> i <br /> i <br /> I <br /> Q,-, FO/R,, USE BY ADMINISTRATION ONLY ~ <br /> i <br /> Capital Project No. -1 ~S S W ~ ACK ~ ~ 3 9 ~ ~ Z LPXXx~ q ~u 5 S(o~ ' <br /> pip i <br /> GL Title ` [ ~ VCs-r d ~ (3-{-h -7 :1 ~'f'1 <br /> Assigned b ~ Date `f ~ U 5 <br /> i <br /> Accounting by Date , <br /> i <br /> i <br /> ATTACHMENTS: i <br /> O'Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ~ <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request i <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application f Map j <br /> ? Request for Scoping Meeting <br /> 1 <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK f Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> I <br /> i <br /> i <br /> <br />