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V <br /> <br /> ` PROJECT AUTHORIZATION FORM ~ Engineering <br /> c~~tif~~~~1;;. Public Works <br /> I ~t:2"~~/L/ ,p City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541)662-5560 <br /> Service ID: ~ SID., PB V GL ~ JC _ JE~ <br /> Project title: 02 ~ ~ ~u'~ ~ + 14-!'~' ~ ra <br /> (,~eat~i a.~d hunt af~.s~eicv,) <br /> na contact /private engineer: ~ 1` I V e <br /> PROJECT SCOPE: <br /> Paving: ~^1 ~ Bike lanes /paths: <br /> Concrete walks: ~~it ~~~5 (a C~rrtJer~ Setback /Curbside <br /> fl (mil <br /> Wastewater nn Stormwater Landscaping <br /> Signal ~ L~+ure. 5 ~ Qra~ Street lights ROW required ~ S ~ <br /> ~'P <br /> New building construction Planning, other Remodel <br /> ~i.lE X 333 y'33 R. lot 79q I 54 Ia~13S`~7Sta~ <br /> FUNDINGSOURCES: ~ +mPrV• ~333g332 (otZ3Sg~a,`~71 ~'13,~10~{. <br /> City `rf>~i Assessments Privat Other department g33S 1 R Q 90si <br /> 5!~ °i'o ~arl C, I~o••~ Fw~s { Cpryt rMUn r~ 1 RvJl7mcr,! !~q-k9ory ~ Account code S(oS ~ <br /> Fed /State /County !FAA ~ fixed) 3S ~jO.St <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~5~, ~}3S <br /> _ -e ~ r <br /> ~ o •H" ? r <br /> r. t'~ ~ ~ i v~ <br /> APPROVED: ll~~ <br /> Project Manager Date ~g 2 T <br /> Principal Engineer Date - 2.2. - d <br /> Facilities Manager Date <br /> City Engineer Date ~ / 22 d <br /> Os to t'[)~S ~Di <br /> QG FOR SE BY ADMINI~~r~AnT10 ON~/1LY <br /> Capital Project No. 1-J ~ ACK ~'O`'r '3`3O~' ~~,I~.~rJ J`~ ~L <br /> -f-r, y-i I ~v- ' L n I <br /> GL Title I c j Q <br /> Assigned Date <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 4t5 WHITE / Flnance YELLOW /Administration Flle PINK /Engineering File GOLDENROD /Project Manager JUL Y2a04 <br /> <br />