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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~./ ~ Eugene, OR 97401 <br />- ~ ~~~ SID PB GL JC JE (541) 682-5560 <br />Service ID: <br />Project title: ~ ~ ~ " ~-i~~~Ri--n=~~v - ~~.~5a~i t`~ ~V~ .~i'~K~i~i~"~E~Z S~ <br />(location and work descriplionJ <br />~1~~t (=~ i +®P-t <br />roject manage /contact /private engineer: ~~~ ~ ~Pcl~t Vc.~~~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater <br />Signal <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />width) <br />Stormwater - Landscaping .t <br />Street lights ROW required 7~ <br />New building construction Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City X Assessments Private Other department <br />~~ ~~t~,~~ ~~~~ ~~~ ~~ Account code <br />Fed /State /County /FAA ~~~ (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />I r~ 4'i2~i Etw EIVT °Tt7 j rt-4r, t~ X i 5l°r r.t f~ 5~~.1~ W i~T~l2. ~ y5TEN~ ~ S riN'~D~D ~r't~ 1~ i i.1 Cy`~}~$~ <br />APPROVED: <br />Project Manager ~ ~ ~ ~ - <br />Principal Engineer o <br />Facilities Manager ~;~;~ <br />City Engineer <br />g` <br />Date "f ~p"' <br />Date ~' ?~°`~ ' ~ ~- <br />Date .- <br />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 />J <br />C <br />'~ <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /ULY2004 <br />