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<br /> ' n ~ <br /> .y <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> ~Q`~ 244 E. Broadway <br /> ~(n ` Eugene, OR 97401 <br /> ¢ ? ? ~ J (541) 682-5560 <br /> Service ID: ~2 v ~ SID ~PB _ GL = JC _ JE <br /> Project title: ~4el~' IQ?EP-~9l <br /> ~2 " IqM,~-~QALG~~F~1:-1/7" ~~C-~7 ~Z~.~/~/~~ <br /> (/aceli°vr end a»rk descdpnby <br /> Project manager /contact /private engineer: Y-~-~li~.~Q/~LF..K,. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (,~ys/ (Kra7Y,J <br /> Concrete walks: Setback /Curbside <br /> (/engrh) (~+1 <br /> Wastewater Stormwater ~~wl..l.r Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ X10 531 ~i33Z /vI135 g5~oo~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ' <br /> ~ZEMoivE &k P/PE D~/TFi4~L ,~N,(Z,QL-PL,~t~E JT W/TN <br /> a <br /> v <br /> r tr. <br /> ~ir?n,,~ ~o.. ~i~E DrJl'~.4~L <br /> p- <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ 6 ~ i ~ <br /> a <br /> Facilities Mana er Date ' cr <br /> ~~ee0~~~ <br /> City Engineer~~(X~ Date ~ + <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 5~ ZIP ACK ~j3, ~3~ ~~OL q°~5513 <br /> GL Title ~M ~ ~ ~ ~ <br /> Assigned Date U" <br /> Accounting by Date <br /> ATTACHMENTS: j/O 000 <br /> J'j~Budget Estimate ~ ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> _~r7 City 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 Manager ?UL Y2004'~, <br /> <br />