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o~ <br /> A c- <br /> ~f <br /> F . . <br /> ~ ~ Engineering <br /> <br /> (i~a„ Pf~'OJECT AUTHORIZATION FORM ? Public Works <br /> City of Eugene <br /> ~ ~ 244 E. Broadway <br /> / rv Eugene, OR 97401 <br /> It_d J VJ ~ ~ ~ (541) 682-5560 <br /> ervice ID: `1'L"i3 SID PB GL JC JE ~ <br /> S ~p Q?1 <br /> i, Project title: r r ~ ~~~~"'FrL~~'~- ~ ~ <br /> 1 (/ocalion erro' work desciiptia~J i <br /> ~ oject manager ontact /private engineer:~~ t~~"~ <br /> i <br /> i PROJECT SCOPE: <br /> i <br /> Paving: Bike lanes /paths: <br /> (wid/hs) /widfhJ i <br /> Concrete walks: Setback /Curbside j <br /> (/ent~thJ (widlhJ <br /> ~ Wastewater Stormwater Landscaping <br /> f <br /> Signal Street lights ROW required j <br /> New building construction Planning, other Remodel i <br /> FUNDING S URCES: ~ I U ~ 133 X93302 lol 7.~5~ g 7S'D/~ <br /> I City Assessments Private Other department <br /> Account code <br /> fixed <br /> Fed /State /County /FAA ~ ~ <br /> . I <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ S ~t1T"~q ~~Tt ~ 5 ~~PP ~ws.~ C.TAr~T Tt~C-- <br /> ~,~Y14~ . /t ~~t5~ _~Ztoj2t ~pTt t2EQ t1LS1'~ W t~,l ~1~. ~~k~FD A`i' <br /> ~ (.1~ 1 _~T~~ L ~z~- T'i~ tk?~E~ c~kTta~e `tt> ~W h.-~. ('~S~?c. T/b~tT C~~''S <br /> r <br /> =~si APPROVED: ~ ~ n <br /> Project Manager Date I 2 o(•~~ar- <br /> Principal Engineer Date ~ 4" <br /> Facilities Manager Date <br /> City Engineer ~ Date ~ ` ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ -1 ACK ~~3°~ ~~Xx ` ~ <br /> I <br /> ~ GL Title \ ~-~-e.hLV" C~~ (~.-Y'lYl t'f1~ <br /> ' ~ U Z7 DL <br /> Assigne y Date <br /> I <br /> j Accounting by Date <br /> I <br /> ~ ATiTACH TS: <br /> Bu Es i ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? S sfaeet ? Engineering Agreement ? Engineering Service Work Request <br /> ~ ? City Engi t' r ? Public Improvement Permit Application ? Map <br /> I ? Reque t for Scoping Me ting <br /> i <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> <br />