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~C ~ <br /> PROJECT AUTHORIZATION FORM ~rn~,/ Engineering <br /> Public Works <br /> City of Eugene <br /> / 244 E. Broadway <br /> Eugene, OR 97401 <br /> Q ,~,d' (541) 682-5560 <br /> Service ID: ~-.Y3 SID ~PB _ GL JC _ JE <br /> Project title: I- ~`u'~ <br /> (k~cehon end wtiik desc~vria,J <br /> oject manager / ontact /private engineer: ~~uJt~R-r~ 1~T~41'1~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (/e~ml (mil <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SQURCES: ~1 $lD l~ l33 X3302 ~3S ~75a/~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 6-P-~ll~'s ~-~C~S~A ~.o(~c NYC t~Q ~/~-S~ w t/.~. R~ f~Jb-tt-OPT A'r <br /> ~ cd~ ~ro '~/~zce~ ~ty carte. srrt.~l~tT ~ <br /> APPROVED: ~ ~ n r <br /> Project Manager Date ? /•LD`i' <br /> Principal Engineer Date ~ 0 ' ~ O <br /> Facilities Manage Date <br /> City Enginee Date /o / s ~ ~ <br /> FOR QU'jS~E BY ADMINISTRATION ONLY Q <br /> Capftal Project No. ~ -7 ACK ,33 ~33a ~~"x ` ~ <br /> ,p , ; <br /> GL Title ` ~j 'C,M^~'e-1-- G~-1 1(~Y1'Y11Y1 <br /> Assigns y Date ~ Z ~ ~ <br /> Accounting by Date <br /> A ACHMENTS: <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Flle GOLDENROD /Project Manager ?UL Y1D104 <br /> <br />