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- ~ c ~ <br /> r <br /> -PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> I <br /> ~ ~ ~ City of Eugene <br /> I, 244 E. Broadway <br /> Eugene, OR 97401 <br /> -7 ~ ~ / ~ ~ ~ (541) 682-5560 <br /> Service ID: / _ ~ ,n;vSID PB y GL JC JE <br /> r Project title: ~ 3 i ~ ~~-~~•M1L. L~ <br /> ~ Il~~~ ~~~,.(j~E_~ <br /> (/ocetion and work descriplioy <br /> I <br /> f Project manager /'contact /private engineer: <br /> 'PROJECT SCjOPE: <br /> Paving: ~~~t~S Bike lanes /paths: <br /> I (widths) ~ /width) <br /> ~ ,Concrete walks: ~ Setback /Curbside <br /> ~/engthJ (wid/hf <br /> '.Wastewater Stormwater Landscaping <br /> SSignal Street lights ~~W required <br /> ~ 'New building gonstruction Planning, other Remodel <br /> i <br /> FUNDING SOURCES: <br /> icily Assessments Private Other department <br /> i Account code <br /> , ~ Fe'd /State /County /FAA fixed) <br /> I <br /> a~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ <br /> i k t ~I~ <br /> y I L <br /> rrlt[r f r s <br /> f ~ <br /> F <br /> 1 <br /> .R <br /> ~4: <br /> I APPROVED: <br /> f Project Manager Date ~ Z2~Ug <br /> 'Principal Engineer Date--~~-Cac~ <br /> .Facilities Man er <br /> d Date <br /> 9 <br /> I l Uv <br /> ee Date ~ <br /> Cit En in r <br /> Y 9 E. <br /> I ~ <br /> n FC~O/'R~ USE BY ADMINISTRATION ONLY v <br /> ~ Capital Project No. ~ / ' ~ ACI~~",Z_~j5~ ~/~~X- v ' S"`° <br /> I~ ? r - D^~ <br /> c.(~r-~ <br /> GL Title r...L- <br /> Z~ ~ <br /> <br /> j ~ Assign d by Date <br /> <br /> I AccounU g by' Date _ <br /> I <br /> ATTACHMENTS: I <br /> ' ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> j ? City Engineer's Initiating Order ~ Public Improvement Permit Application ? Map <br /> ' ? Request for Scoping Meeting fir` ~ ~ ' j <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 II <br /> i <br /> i <br /> <br />