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<br /> A <br /> r <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ti~r~A~ Q, City of Eugene <br /> r~k 244 E. Broadway <br /> (rY Eugene, OR 97401 <br /> a\v~ ~ (541) 682-5560 <br /> Service lD: ~~S SID PtBc,~~GL ~ JC - JE <br /> Project title: ` + ~ _ ~ O1I <br /> /kredbnendKCVk 1 <br /> Project manager /contact !private engineer: _ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes i paths: <br /> Concrete walks: Setback /Curbside <br /> (~`~l (mil <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required. <br /> New building constnlction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCR PTK)N: <br /> _ W 1f-a- - ~ ~-Ir _ - - <br /> . <br /> f <br /> APPROVED: q~~ ~ <br /> Project Manager Date ~ ~ . <br /> Principal Engineer Date ~ f ' 7~2~-- <br /> Facilities Manage Date <br /> City Engineer Date r ~ I e ° 4-' <br /> v <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 5c~~ + ACK ~ ~ 3 ~ U~ 1~ k- ~ J ~ O ` <br /> GL Tit{e k~ ~ ~ ~ c; <br /> cT <br /> Assi by Date ~ ~ d =L <br /> n <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 <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering FUe GOLDENROD !Project Manager ?UL Y2G10! <br /> <br />