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t - , . <br /> r <br /> .h '~~/q a ^d <br /> ` w I <br /> ~r +~n~ r Y <br /> I Y <br /> PROJECT AUTHORIZATION FORM ABC Engineering <br /> Public Works ~ <br /> C J,,',. 7~ City of Eugene <br /> ~QJ1r/ ~ Eugene OR 97 01 <br /> ~ X r / ~~D ~ (541) 682-5560 j <br /> Service ID: ~ ? / SID ~ PB `GL x' JC~V JE I <br /> Project title: wr9`~~~- ~ i25 l~~*+~~~~'SS1 ~1`f f7~w5i~? <br /> (/ocatio work descn; <br /> /ionJ <br /> Project manager contact /private engineer: I C <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> • //eng/hJ (widlhJ <br /> Wastewater Stormwater Landscaping I <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> I <br /> FUNDI G SOURCES: ~ ~ '~w ~L <br /> City ~ JAssessment Private Other <br /> a~ `y"p S ut.~~' _ code ~ <br /> i <br /> Fell /State ~`tCounty /FAA fixed) <br /> ` COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T4 <br /> `k <br /> ~ t5 _ C 1 S S 'O <br /> Y ~ ~ <br /> 1 2 . c~ ~t ~ WI ~ <br /> ~ i~! a s ~ ~,2 - t~ ~ ~ <br /> - _ ~ <br /> ' 1~.It4v <br /> i <br /> APPROVL~: <br /> Project Manager Date ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ / ~U ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ J~ 1 ACK 3 Z ~ 33a (px ~x X G 55/c~5 <br /> GL Title ~ ~ S ~ ~ ~ A•~ <br /> Assigned by Date tG' ' ~p~ ' ~ <br /> Accounting by Date <br /> I <br /> <br /> r ' <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 Meetin~ t ~t l4 ~ ~ ~z6oj <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />