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,fir t <br /> <br /> ~ ~ I <br /> OJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> -1 \ J/ (541) 682-5560 <br /> Service ID: ~ ~ S T SID PB GL JC JE <br /> Project title: A p QT - E, G ~l1 N A rv 4 A,Q. Q <br /> (/ocalion and wodr descnptionJ <br /> ~ ' <br /> Project manager /contact /private engineer: 1~ I ~-14 G INS <br /> i <br /> I <br /> PROJECT SCOPE: t <br /> Paving: S~Q X Zd Bike lanes /paths: ~ <br /> (wrdlhsJ (width) I <br /> I Concrete walks: Setback /Curbside <br /> (/englhJ (wioYhJ ~ <br /> Wastewater Stormwater SOU Landscaping <br /> l Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUN ING SOURCES: i <br /> I ~ 1 5 `I o00 i <br /> City ~ Assessments Private Other department <br /> A ~ 4 Po Q.T Account code , <br /> Fed /State /County /FAA N O FAR fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> " ~ <br /> SZZ'.S Nil ~ SG JA 12Po2'i <br /> :t <br /> i <br /> 'r*,i <br /> APPROVED: <br /> Project Manager ~ Date - 13 -4S <br /> P inci a Engineer ' I Date ~ 3 " 6.S'' <br /> T' Date <br /> Manager - _ <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. /J3~~ 905 Za'3 ACK S ~ ~ z~7 1.) - ~XXX ~ ~ Io~~ ZZ~ <br /> GL Title ~ ~ Q,v ~Gt.'~~ ~ <br /> Ass ed by ~ ~ ~ ~ Date ~ ~ ~ <br /> Accounting by Date <br /> i <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />