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PROJECT AUTHORIZATION FORM <br />~V ~~ <br />Engineering <br />Public Works <br />Service ID: ~ ~ C~ t <br />Project title: <br />City of Eugene <br />s°~ 244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />SID PB GL JC JE <br />Project manager /contact /private engineer: h'~ ®l,-t'~ ~'c.~~ C` l ~ l.1 "~ <br />PROJECT SCOPE: <br />Paving: Bike lanes /paths: <br />(widlhsJ (widlhJ <br />Concrete walks: Setback /Curbside <br />(/englhJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City <br />Assessments Private <br />Other department <br />Fed /State /County /FAA <br />Account code <br />( %, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />~"I~ B °, ®e~~ ~~~` € "~ "+ ~ ~ ~-t,i}~~~-~~' ~ t3 t< ~-.t 1.1~ji~ L. €~ :e~~~ai°'T~t-~ <br />`~iir~Lt ~t+~A~L;~ ~~--~~(~%~ ~~ ~ `~F~~-.~V ~o~~=~`~i~~~r'~~t~2d~8 ~f~~~~' t-> ~ <br />~~r ~ ~~'~~ ~l ~~ 1" ~ `~ 'T'R.~ ~' "~- ~ta~_i I ~y ~~~-~®~.~'~~D ewe t ~i.. ~ ~ ~x~~' ~._ <br /> <br />APPROVED: <br /> <br />Project Manager _ <br />Date <br />~~ <br /> <br />Principal Engineer ~ . <br />Date 2' 6 <br />Facilities Manager <br />City Engineer ~ ~~.--- ~~ Date ~ <br />Date `"~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~ ~~--L ACK ~ ~~ "~~ ~`~~~ <br />s <br />GL Title ~ ~ ~ ~®f C3 _ _ c ~A~ ~ '~ ~~~~ <br />Assigned by ~" i ~-- ~ ~ ~.: Date ~ , <br />~ ~v° ~ I~~ <br />Accounting by - Date _~ ~ ~'~ <br />ATTACHMENTS: <br />Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ~ Map <br />^ Request for Scoping Meeting <br />t~ <br />-o... <br />`" <br /> <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /UL Y2004 <br />