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. ~ <br /> 1 ~ U M ~ r ; Engineering <br /> t: PROJECT AUTHORIZATION FORM ~(~S-~-Gr" ~ Public Works <br /> City of Eugene <br /> /L\~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> l~ = / / ? (541) 682-5560 y <br /> Service ID: ` SID PB ? GL V JC _ JE",J <br /> Project title: ~EC.r~ I'C~ N D S g I~Eb ~ <br /> ~TK~ ~Tt^~~'~Ua 17 ~/~!S <br /> 17.1'RL ~ .~C.A~I~ <br /> (/ovation and work desciiptior~;d-._• <br /> Frio A 'TQ-~~~~ <br /> I <br /> lit N L~ <br /> Project manage /contact /private engineer: ~ ~-A1~,1 ~>EL'' - _ <br /> PROJECT SCOPE: <br /> Paving: - _ _ - -Bike lanes /paths: j 2 wl~ dlh <br /> (widlhsJ ~ ~ <br /> Concrete walks: ~ U Setback /Curbside - <br /> (/engthJ (width) ~ <br /> Wastewater Stormwater _ VAS Landscaping <br /> Si nal Street lights yE~ ROW required -I ~S _ <br /> 9 - <br /> New building construction Planning, other Remodel _ <br /> FUNDING SOURCES: <br /> <br /> ' , City Assessments Private _ Other department <br /> (p/ ~p~ ,rj j)G„~ Account code _ <br /> Fed /State /County /FAA - _ _ _ _ _ _ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> -t~~ I r~ _ a`~~,~~: - -~.u5%= _ ~~_t~)_~ ~ ~1!T~~I~ty oUT = ~i ~I~ i~C"T ~ NL~ <br /> T'tt~. 1'~ko-~~~- ~k..l~ ~t'~C.."`i"-U ~ At~?~D uETfi 116 ~ k~ Ca~?.tSs1L~"Il~l~~ ~6t uEE~S. <br /> ~TU ~.STIMA'T~ STIU,lC'T"UTZ~S ~S~S <br /> i <br /> - _ <br /> APPROVED: - <br /> Date ~ z <br /> Protect Manager q GS d _ <br /> Principal Engineer Date f ' 30 • D~ _ _ <br /> Facilities Manager Date <br /> City Engineer_ _ ~'1.~^ _ _ Date ~ ~ ~ <br /> Y ADMINISTRATION ONLY <br /> FOR USE B <br /> " Capital Project No. ~Z ACK ~ Gi ~-Jc~- ~J~h~ ~ ~51~ <br /> " GL Title ~ Gt., I~~r ~ ~ ~1~.. 1' ~T~ _ _ <br /> Assigned b~ _ Date v ~ <br /> Accounting by _ Date _ <br /> ATTACHMENTS: <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 /> \O ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />