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i l i <br /> ~ ~ a ~ t~.~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> ' (541)682-5560 <br /> i Service ID: 4 3s 1 SID PB ~ GL JC _ JE <br /> Project title: ~ P QT - u'f H ~~1 ~ P REi~t a ~ <br /> //ocalion and woi/r descdplion/ <br /> I <br /> j Project manager /contact /private engineer: Tile 1 N 1 G4 D N S <br /> I <br /> ~ PROJECT SCOPE: <br /> I <br /> Paving: 7 Bike lanes /paths: <br /> (wrdlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> /length/ /widlhJ <br /> Wastewater Stormwater Landscaping <br /> w <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: W'u F+~28JT ~jf t/6.~ ws''~' <br /> Cit Assessments Private Other department <br /> ft}''J4~An.1"~ Account code <br /> Fed /State /County /FAA gyp, ~n ~ y~ ~,~~1T fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> } <br /> G <br /> x'M <br /> APPROVED: <br /> Project Manager ~ Date ~ ~ ~ b <br /> ~P~TEngineer ~ Date ' ' <br /> Manager Date G <br /> City Engineer / Date ~~~a <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ Z ~ / 33 Y ~~bs~2?ACK ~gr~33~( C.~K~ q ~15ZZ-3 <br /> GL Title i <br /> <br /> i ~ I <br /> <br /> ~ Ass'fgh by - Date <br /> <br /> i I <br /> ~ Accounting y Date <br /> I j <br /> A ACHMENTS: <br /> ~udget 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 /> i <br /> ~ ENG 415 i WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 I <br /> <br />