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Engineering <br /> PROJECT AUTHORtZATtON FORM un~ i PuaOoworks <br /> / ~ City of Eugene <br /> V ~ 2a4 E. Broadway <br /> ~ e Eugene, OR 97b01 <br /> ' ? V (541)682-5560 <br /> Service ID: ~Z~ Z' SID PB GL = JC~JE _ <br /> Project title: ~-~`ov~ e- ~ " a G~,c. ~ <br /> lacanw, ~ aesrnjonra,) <br /> Project manager /contact /private engineer. r ~ ~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (mil <br /> Wastewater Stormwater ~"~"~0'~ ~°'`'`j'~'~~rLandscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ S3~ ~33a- 7~g 93saS'6 <br /> City ,~b~ ufi j~~sessments Private Other department <br /> ~~*Qt,.l,~ F~;1;k`~ _~i Co~rc. /S-ra,s... Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTWN: I ~ <br /> ~ ~ `a. ` ` G ~ ~ <br /> r, <br /> ec ,y~ ,n <br /> N <br /> ~ ' O <br /> d <br /> 7 <br /> I ~ <br /> APPROVED: <br /> Project Manager Date R ! <br /> Principaf Engineer Date - <br /> Facilities Manage Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK a3~ ~ / <br /> GL Title !.L-.Y1 h ~ 1 ~:~t-~lA `'1 Y'"~ <br /> t~ <br /> Assigned Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On I provement Petiti <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service rk Request <br /> <br /> ' ? pity 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 Manage ?UL Y <br /> <br />