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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: <br />~Sg <br />Project title: <br />//ocalion and work dascnplionJ <br />City of Eugene <br />• 244 E. Broadway <br />j Eugene, OR 97401 <br />,// (~~ ~ (541) 682-5560 <br />SID ~ PB ~ GL _ JC~~~ JE <br />Qa~a i f S <br />Project manager contact /private engineer: a G~ ~ U ~-.~ <br />PROJECT SCOPE: <br />Paving: ~~ ~ r UJ S (~ ~~C~ ~ ~ Bike lanes /paths: wrdrhJ <br />/wrdlhsJ / <br />Concrete walks: Setback /Curbside <br />(/englhJ (~"~hJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ?~ Assessments Private Other department <br />Account code <br />Fed /State /County /FAA (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WII ORK DESCRIPTION: <br />i O~ ~ O i ~ l ~ 9~ O~ ~- G <br />3 l ~ tv i ~ '7 ~ ~ <br />~ . `l~ <br />g 4(fi~, ~ ~ ~ G ?_ 7_ '~ . 1 N 1 Q ; ., L. ~ W c~..-oft ~ v~... --R___t"1n ~3 r A-a. ~ ~ 3" tr.~ ~ t-t.. <br /> <br />APPROVED: <br />Project Manager Date <br />Principal Engineer I ~' ~~ Date s ~ <br />Facilities Manager ~ ,~.,~ Date <br />City Engineer--„ ~-'f1" " 5 ' Date ~ ~ t o d <br />FOR hUSE BY ADMINIST3RATIO*~N ONLY r~ } r <br />~~~ G~~~i4'~~=1 ~~~ L ` ~ ACK ~ ~~ I ~ ~ tiJ ~ ~ '~ ~1~ ~ ~ ~~C '~ ~1 f ~~1 <br />.Ga¢-tel Project No. <br />GL Title ~ ~~~ <br />\ _. <br />Assigned by -Date v <br />Accounting b 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 />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 <br />