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~T <br /> . ~ _,,G.. - <br /> r 5 u <br /> ~P~OJECT AUTHORIZATION FORM ~ Englneerlr,g <br /> Public Works <br /> of Eugene <br /> ` 4~ E. Broadway <br /> 9 Eugene, OR 97401 <br /> ` / / (541)682-5560 <br /> Service ID: ~ T7 i ~ SID y PB ~ GL JC ~ JE r f - <br /> Project title: We- S~ uGe~tt.. ~~'U ~ C ~,C ~1"t'~ w~ ~ e_~LC~~.!` $~~t- ~-o J e.c~ ~ ty) ~ <br /> (location and work descriplionJ <br /> Project manager contact /private engineer: ~ ~ <br /> PROJECT SCOPE: <br /> / / <br /> Paving: Bike lanes /paths: ~Zw K4~~, <br /> ~(widlhsJ /widlhJ <br /> Concrete walks: Setback /Curbside _ _ <br /> (length) (width) <br /> Wastewater _ Stormwater Landscaping _ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel _ <br /> FUNDING SOURCES: <br /> City ?C__._ Assessments Private Other department <br /> X r r~ '1,~Y.:- r C~ ~~ai\~ -':;~11-3 ~ - ~f 3~~1 Account code <br /> Fed /State /County /FAA ~ G3~3y fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> a. <br /> I <br /> - ~ <br /> ( ~ ~ ia~ i '+~j.. ~ r ~ .T' r_' 1 v' ~VC„ c. ~?l~ ~ r p t..1 ~y.,.~ <br /> r_ - <br /> - _ _ <br /> APPROVED: <br /> Project Manager ~ Date ~ <br /> ~ ~ <br /> 3`¢ ~ _ <br /> Principal Engineer Date ~ ' ~ " <br /> Facilities~Manager Date <br /> City Engineer-,; Date ~ ff ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ Capital Project No. ~ ~ ~ ~ ACK ~ ~ ~ ~ C.~ u~x 1~ ~ ~ ~ ~'~V I <br /> GL Title ~ ~ ~ t~'~-- <br /> ~ <br /> Assigne by Date 2 22 c~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> '~J 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 File GOLDENROD /Project Manager ?ULY2004 <br /> - ~ <br /> <br />