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I ~'~E~l <br /> ~ ~ ~ PR~J'ECT AUTHORIZATION FORM ~ ~ Engineering ' v <br /> ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ` (541) 682-5560 <br /> Service ID: ~Z~ SID~PB ' GL JC JE <br /> Project title: "~*~~-~c~r~- ~p ~ 2,r~~, G...$„~erg <br /> (location ano' woikdescNptrar/ <br /> roject manag /contact /private engineer: 7~"~uy1~"1t-Q ~~li~.'fryiNl/t <br /> PROJECT SCOPE: <br /> Paving: widths Bike lanes /paths: <br /> ( / <br /> (width) <br /> ~ Concrete walks: Setback /Curbside <br /> i ~ (/an9th/ (width) i <br /> ' Wastewater Stormwater _ Landscaping <br /> ~ Signal Street lights ROW required r <br /> New building construction Planning, other Remodel <br /> I <br /> FUNDING SOURCES: ~ <br /> City ~ Assessments Private Other department <br /> Account code ! <br /> Fed /State /County /FAA fixed) <br /> <br /> t <br /> COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> F ! ~?kcS Jr•-t..m~~AT~or.~ is f~ Ca~S~?~-Th~T P''1i}r1.~ '~'~4ft+~ ~'~1tC~S <br /> t~t~-. ICJ t ~ T~ ~1i'~at~T c'a~~Sn1LT~t~,~.Z- <br /> I <br /> ~ <br /> APPROVED: <br /> Project Manager Date CZ~~'"°`~ I <br /> ~ Principal Engineer Date ~ ~ ~ <br /> Facilities Manager Date <br /> I City Engineer ~ ` ~ Date ~w <br /> i <br /> i <br /> FOR USE BY ADMINISTRATION ONLY j <br /> f <br /> Capital Project No. -I ACK ~ "I~~ 2- Go~CXxl~ g555S <br /> ~e,rit.rc~. ~ ~tl..Y1Y1 IYl <br /> GL Title <br /> Assigned y Date V <br /> i <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: ' <br /> (~udget Estimate ? DeveloperAgreement ? 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 File GOLDENROD /Project Manager ?ULY2CJG4 <br /> <br />