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. <br /> <br /> ~ ~ - ~ ~G~ <br /> ~ ~,~.5 Engineering <br /> PROJECT AUTHORIZATION FORM ,_,,,,~-w Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> f --zt~, (541) 682-5560 <br /> Service ID: ~?J~ ~ SID PB GL JC JE <br /> Project title: ~---M~ ~ ~ ~ ~ ~ ~~~4 ~ <br /> (/ocalion and work desciiplionJ <br /> I <br /> Project manager /contact /private engineer: t <br /> PROJECT SCOPE: DF~1 C-~ ~ O F /hCi~.SSI 1~--~.- Y~1 L AI~IC~ I AJ~STA<<-L.~QTtc~ f.J F <br /> ttJl"'c.~p'R~..'"f1Uv ~K~fJS _f~~L-M $ike-lases path <br /> (widths) (widlhf <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction anning, of r Remodel <br /> t <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> ~ State /County /FAA o~,,j 11 ~~22 cc,,.~~~~ fixed) <br /> ~"t COMMENTS /SPECIAL PROJECT INFO. / NT~~Fii~~'1~7CR'1'IOAL ORK DESCRIPfiION: <br /> ~zo, eoo <br /> I 1 t_.. R w <br /> + C ~ <br /> l©~.~TR~tc' TrQt,,~OC~'S rZ T'RAt-t 1.... PR(~~.CT - Tt7 1~~ ~O 1JSTR~C..T~ <br /> i t I.1 Z©Q ~U ~1Q~2 P,rt~TNF~' ~51~5 O R©~ <br /> k <br /> APPROVED: <br /> Project Manager ~ 1 Date ~ • ~ ~ ~ OS <br /> Principal Engineer _~r~C/~.CC.~C..~.~L~~`^-Q-~- Date fr~r~~` a <br /> Facilities Manager Date <br /> City Engineer Date ' f <br /> 5 ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> q~r~o2 <br /> Capital Project No. ACK ~ 3~ ~ 33 Z (,pX X xX jo S ! o ~ <br /> GL Title J j~~Jl.r~-=1 T's ~ r~u ~ 1~ ~l"rcz' i 1 <br /> ` ~ Assigned by Date <br /> i <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 /> tom' Request for Scoping Meeting <br /> l ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> <br />