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t <br /> PROJECT AUTHORIZATION FORM ~j(~-yrl Engineering <br /> i Pubik Works <br /> /y~ ' C'dy of Eugene <br /> ! 244 E. Broadway <br /> ~,V~ I Eugene, OR 97401 <br /> ~ ~ G~ I (541) 682-5560 <br /> Service ID:-~-f <br /> 2'I <br /> ~ ~pSID_ PB _ GL ~ JC ~ JE _ <br /> Project title: ~El-~t ~ ~ la S O r <br /> (,bcation a„d want ahscrgvLiay <br /> Project manage contact /private engineer: E ~ <br /> PROJECT SCOPE: ' <br /> Paving: _ ~ D. Bike lanes /paths: / . ~ <br /> Concrete walks: '~~Q ~~'f~ ~ SET Setback /Curbside <br /> (J (wdoriiJ ' <br /> Wastewater ~ b Stormwater _ 'xES Landscaping <br /> Signal ~ O Street lights 1~.0 ROW required b <br /> New building construction DD Planning, other Remodel <br /> FUNDINCa SOURCES: ~~F-- 321 8335 ge53g2 '1' 143 k. ~ a33~ 15342 <br /> City Assessments Private Other department 31 <br /> Account code <br /> Fed / fate ounty /FAA °~o REI T1~,tl RS~M~~ (°k, fixed) <br /> h.. i <br /> COMME PECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a~' <br /> APPROVED: <br /> r~: <br /> Project Manager Date ~ ~ ~ Z Z O~~ <br /> Principal Engineer Date <br /> Facilities Manager Date G i <br /> City Engineer Date ° r <br /> ~ ~ ' <br /> Q FOR~7USE BY ADMINISTRATION ONLY , <br /> Capital Project No. 1~~~ ~ ACK Z a33~ S`~ t ~ 2' 4 <br /> \~-v- Y-kh icr' - n <br /> GL Title <br /> - C Q <br /> Assign d by Date b <br /> i <br /> Accounting by Date ,T <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On I provement Petitiol~ <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service W rk Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map j <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW / Adminfstratbn Flle PINK / Engineering Fite GOLDENROD /Protect Manager JUL Y <br /> <br />