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_V t.. <br /> 'x~~ fj/ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~i1 <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> i (1~ Eugene, OR 97401 <br /> f Service ID: ~/3 l7 ~ ? ? ? ~~1 (541) 682-5560 <br /> i ! SID PB GL JC JE <br /> r Rrtyect title: P~ E42 t a ~ s ~ ~ c,4. ~ / JN~S <br /> i ~ ~ (location and wodr descaptionJ <br /> .rte" <br /> Project manager /contact /private engineer: I3 a % <br /> a ?'~re..(._. <br /> i <br /> PROJECT SCOPE: <br /> I <br /> I Pav~g: (widrr~J Bike lanes /paths: <br /> 1 /widlhJ <br /> Co rete walks: <br /> i ~ (/engthJ Setback /Curbside <br /> (widlhJ <br /> Wastewater Stormwater Landscaping <br /> i <br /> Signal Street lights ROW required <br /> ~ I <br /> New building construction Planning, other Remo <br /> ~ <br /> FUNDING SOURCES: ~ d ~ ~ <br /> erg / I ~ ~r~ f <br /> City x Assessments ~ PFivate - i~' t ~ •,~-Other department <br /> ~ ' ~ Account code I <br /> Fetl / State ~ County /FAA fixed) <br /> ' ` ~ COMMENTS / 6PECIAL PROJECT INFO. /INTERDEPARTMENTAL RK DESCRIPTION: <br /> t 9 <br /> % C <br /> ` <br /> Lt. C ` t-~ Q. ~ i <br /> I^ <br /> J~ - <br /> APPROV~l: i <br /> Project Manager ~ Date <br /> Principal Engineer Date <br /> i Facilities Manage Date <br /> ' City Engineer ~K S~ffDkn, ~ Date •2~' 0~ <br /> i , <br /> f FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. _ q5~"~n~~ ACK '~~3 933' ~XXX X 9~~~~ <br /> GL Title ~ <br /> I ~ <br /> Assigned by / • ~J <br /> Date <br /> Accounting by Date <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 j <br /> ? Request for Scoping Meeting <br /> <br /> III ENG 415 ~ WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 ~ <br /> <br /> ~i <br /> <br />