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~1 ~'i~ f,~ <br /> PROJECT AUTHORIZATION FORM ~ ~ ~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> n Eugene, OR 97401 <br /> C 541)682-5560 <br /> Service ID: ~ SID PB ~GL _ JC ~JE <br /> Project title: ~ , A ~~a~^~ d~ ~~cS f C/~ d~i'r C.~6~//r <br /> /location and work de ciiption J _l <br /> ~ ~ v1 1~~ /1 ~ ~iVK% QI'Iv\ /~'7 ~(i/~/ <br /> roject manage contact /private engineer. /~%(a . <br /> PROJECT SCOPE: / ~ <br /> Paving: _ s ~1 Bike lanes /paths: r ~ <br /> ~ (widths) ~ (widfhJ <br /> Concrete walks: /~fl/O ~ Setback /Curbside <br /> (length) (width - <br /> Wastewater Stormwater ~rJ Landscaping _ <br /> Signal Street lights ~ S ROW required <br /> New building construction Planning, other _ _ Remodel <br /> FUNDING SOURCES:. <br /> City _ Assessments Private Other department <br /> <br /> i / ~ 0~ Account code <br /> Fed /State /County /FAA ~c.C1~/mar ~ _ Ixed <br /> MMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: UEtr 5 rn cat y,~~*r~ ~i,«t <br /> ~4?~~---,~~. C. ^ t 1w^^~I_Q~,E!i+r~ ~s 14~.c F i/d c}~ Rr ~ pf1^ <br /> C',rt d ~c ~ <br /> U tSt f r~ c~ /I ~ F <br /> ~ b Odp w S i~t c- E t v <br /> a ,~tt rt t~ UHF G' ~ ~ /~+k/~ ' .•r <br /> e Cis V - ~ ~/1 l~? Si/N' ~ ~ i~ <br /> APPROVED: '~'a <br /> Project Manager.__ Date ~ O ~ _ <br /> Principal Engineer Date _ O, Z r fl <br /> Facilities Manager Date _ <br /> City Engineer Date ~ t ~ L, ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~~5~~ i <br /> ~r ~ 1., d IC..v~ ~ f 5 ~j~ _ <br /> Assigne y _ Date ' t ~w, <br /> Accounting by _ . Date _ <br /> A CHMENTS: <br /> ,[~~dget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> L4}'SDC Budget Worksheet ? Engineering Agreement ? ineering Service Work Request <br /> ? ity Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ~equest for Scoping Meeting ~ ~~~„,sIL. <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />