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m~!~(,v <br /> PROJECT AUTHORIZATION FORM l~"~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> q t~ i/ ~ (541)682-5560 <br /> Service ID: % + SID PB ~ GL _ JC ~ JE <br /> Project title: _~?'~G~-1'"I 'C. f a ~ 1'~1 ~ OGGt t ~O YH 41c~t Gm bU c cr G ~ ~ L ~ r•, • <br /> (/ocetion end wvnF descripNarJ ~ ` ~ ' ~ <br /> ~~-re,e, L,a • ILA <br /> / . <br /> Project manager /contact /private engineer: a ~OGt_~ V ~ S <br /> PROJECT SCOPE: <br /> Paving: (Wl Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> Wastewater Stormwater v Landscaping <br /> Signa ~ ~ tcJ ~ Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: k' ? S 2 <br /> City Assessments Private Other department <br /> 52r'v+c.es utw~~SpM;..'{- Account code <br /> Fed /State /County /FAA _ l fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ ~ <br /> C <br /> APPROVED: <br /> Project Manager Date / Z~~4 <br /> Principal Engineer Date ~O ! ~ <br /> Facilities Manager Date <br /> City Engineer Date--,'n D 1~' ~`i <br /> FOCR USE BY ADMINISTRATION ONLY ' c <br /> Capital Project No. ~ J~~ ACK ~3~ q3~ ~ l` <br /> GLTitle ~''Iglnlt-.- ~O-r~l ~~'l~e--~'~ ~ CIS <br /> I / rr//~~ c <br /> C ~ V~ <br /> Assigns by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petitiom. <br /> ~SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request , <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> <br /> "Request for Scoping Meeting t, . <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />