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.~c <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> W+ ,nn~~-1~.~ M Cityof Eugene <br /> ~ 1 Y~t,dR-~ n~~J 244 E. Broadway <br /> i ^v~ Eugene, OR 97401 I <br /> (541) 682-5560 <br /> Service ID: n ~ SID 1V~ PB ~GL ~C"~~~~'J'E~ ~ ~ p~ <br /> Project title: A~'Y1GlZ0 h C', ~ D~~~{~- ~ ~ S-t~ bI ~ I ZG~~(fl'1 , ~+•1-~i~tt'f~bt-~"~8. <br /> (/ocalion a work descnplionJ <br /> Project manager /contact /private engineer: ,~Yl 1 ~ Y w 1 ~ `P y' X ~ 3cGh- <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wid7hsJ (widlh/ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (wio7hJ <br /> Wastewater _tor~ mwatel? Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel ~t <br /> FUNDING SOURCES: /t TY D/VL. 'S~ ~ "la? la! r!O <br /> City ~Vw1 VUG~-~'VAss ssments / ~ ~vPrivate Other department I " ' <br /> <br /> ~ 1.l t't ~ 1 -h f!U d t 53 ~ ~ Account code <br /> ; I Fed /State /C~nty /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r. <br /> <br /> I <br /> <br /> I ~ <br /> <br /> ~ <br /> ' ~ APPROVED: <br /> ' Project Manager Date ~'3 <br /> Principal Enginee Date ~ ~ <br /> j Facilities Manager Date <br /> City Engineer Date ~ <br /> j <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> q 55 I La ~ 53 ~ Q 33a ( i <br /> Capital Project No. ACK ~~S'~T~ <br /> GL Title F't i~ ?,OY~ l-~.1~ 11~~~G~-~ ~ Z'~ <br /> ~ Assign by ~'V V`"~ Date <br /> i <br /> Accounting by Date <br /> i <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> LJ ,SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ~ Map i <br /> ? Request for Scoping Meeting <br /> 1 <br /> I .0~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />