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i t I <br /> <br /> ~ <br /> tA~' <br /> PROJECT AUTHORIZATION FORM ~ - ~ Engineer)"g <br /> Public Works <br /> A(~', City of Eugene <br /> ' 244 E. Broadway <br /> i Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ SID ~PB X GL ~ JC x JE <br /> Project title: ~ A~ VQ h f f A ~I ESt -1'U`' ..S~h'P~ } p sse ss wl P Y1~S <br /> location ate' wodr descriptioy l ( l L <br /> ~~CII~I nA~.'~ E^ 1 r^Pf ~i`r ~ rrte/ ~ ( TC~ t I ti' ~ I/<<T~~ ~ J-~~'C'T`> <br /> Project manager /contact /private engineer: Je ~'1 I -F~ Ir W I ~ ~ X ~ 3lr <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) /wid/hJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> ~ Signal Street lights ROW required <br /> Aclvu~ud ~n~ <br /> New building construction Planning, other Remodel <br /> FUNDINGS URCES: ~CfY ~~14Z'~ r7~1 R75~Z~1 FYLs /U,S'~~f FYOt~, <br /> City Assessments Private Other department <br /> ' ~TvAnSp. ~G~ Account code <br /> Fed /State /County /FAA fixed) <br /> ~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ U vi C @ a.~, s-h~ ma-Fe5 r A r -fe vi u t ,01(P C S-h~ SSP K rye -IS <br /> ~=A r'1,4~ C l u r c t5} P a v Cu ~ u ~ G~t i l l t a v~ D i l) ?'GI ~~i 11C <br /> ~ I ~ E (r ~ r Gt Q..D~ K a Y, ~ v7 SCL ke V' <br /> i <br /> APPROVED: <br /> Project Manager Date J') I IDS <br /> I; Principal Engineer Date ~ <br /> 2 ~ <br /> d-~ <br /> ,I Facilities Manager Date <br /> City Engineer ~ Date ~ ~Z~U 1"~ <br /> i <br /> i FOR USE BY ADMINISTRATION ONLY <br /> q S50~a ~ ' 333 ~j33~ GoxXxX 9i5~~U <br /> Capital Project Norr. /n~ /j~~+ ACK C <br /> G L Title ~G ~ Kr ~ Py ~ 't' L. (J ~C-~y ? S 1, ~ P~.'~ <br /> ~ Assigned by Date ~S <br /> I <br /> I Accounting by Date <br /> I <br /> 1 ATTACHMENTS: , <br /> (Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> j ? 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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> <br />