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N ~ ;Y <br /> ~ ~!t C~~'.. ~ <br /> ` ` r PROJECT AUTHORIZATION FORM,,~U~-~ Engineering I <br /> Public Works i <br /> i <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ ~ ~ v Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID PB GL JC JE <br /> Project title: ~ ~ 5 t U ~ G~,~LTI.i <br /> (/ocatronand~{o~de~n~on~ <br /> Project manager /contact /private engineer: ~Ot ~M ~ R~ <br /> <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ /widfhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthl (widlhJ <br /> Wastewater Stormwater ti/ES Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City _ ~C Assessments Private Other department <br /> Account code <br /> ~ ~ fixed <br /> Fed /State /County /FAA ( ) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Ma~t;~rLIA1.~CE y!v ~sloN NAS TN~S ~R~.CT use As ot~JE of ITS <br /> s'Cbi~M WA't~R CAFlT#l.. !M€'P.aV~M1~tJT"' PR.alEC~- Ar'rK.vNN1g2E~ 7IX7~ <br /> p N ~r'~`t'E ROt"\ ~ ~ Vt.T~. ~V E TD ~~L <br /> 1 1 hl <br /> ro ~ w~ ~ ~ hn ~ <br /> APPROVED: ~ ~ <br /> Project Manager ~ Date ~ ~ Z~ ` OS <br /> Principal Engineer Date 21i ~ <br /> Facilities Manage Date <br /> City Engineer Date ~ ~ <br /> . <br /> ~ , <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK ~ ~S y 33 ~ X <br /> ~L <br /> Title ~ ~ ~ ~v ~~rm <br /> i Assigned y Date T <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~,,.a ~SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ~I Request for Scoping Meeting <br /> lA ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager; ?ULY2004 <br /> <br />