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- °,~«:N <br />~ .:, _~ ~ $, <br />=PROJECT AUTHORIZATION FORM <br />~ . -_ <br />~ „~ ~; <br />~~~ ~ <br />~~.,, Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />„~ ~ Eugene, OR 97401 <br />Service ID: ""~~~ ~- k~~ ~ (541) 682-5560 <br />SID PB GL JC JE~~ ~ <br />Project title: ~/~'r~= r~'ntir~'~ ~`~r-',~'S" .~ ~' ~~~'~?i,~~~ ~' ~i~.,~~',~`~°rs.~.,~ G~,~,~',¢f.r'~~ 7 r'~`~' c'`~~""a <br />(/ocation and work desciiptionJ <br />Project manager / ~o~tact / pri~te-ev~irreer:~- ~~,x~,~t~ ~~s~°,,~a'~,~'~1 <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widthsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widlhJ <br />Wastewater Stormwater Landscaping <br />~ <br />, <br />Signal Street lights '= ROW required <br />~.~ ` ~~l~r/'~ ~' ~ <br />New building construction Planning, other ~~°~~~ ? Remodel <br />FUNDING SOURCES: <br />City Assessments . Private <br />.---- <br />`' " =~d ~7 State /~FUar~ty /aF,Aa~ <br />a~ <br /> <br /> COMME,~I,T % SP <br />~~CIAL PROJ <br />_ ~ <br />`¢~~%'~~-~>~ i" ~'~°°'" ~ <br />~x' `^-` ~ /' r'~n ~~ d ~ : ~__ ~~ ~' <br />°`' , <br /> <br /> <br />1= <br />t <br />~ APPROVED: j~1 ` <br />~ <br /> ~!' ~ <br />.~ <br />Pro~ect Manager_ <br />Principal Engineef <br />Facilities Manag~e;r <br />City Engineer ~" <. <br />X <br />EGT INFO. / INTE <br />~ ~5 . ~~ <br />:' <br />r,~~° <br />ARTMENTAL WORK <br />~..,/ <br />~~~. <br />~~~~~ ~~~ <br />~ ~°~ <br />Other department f~~ ~ ~~~~~ ~ <br />Account code -=~~- %-~~~ ~r~-~~~~ ~~~`~,~~'~i <br />( %, fixed) , ~ <br />f ~~ <br />~ <br />TION: ~ ~ <br />~~~~~ r~' ~- "i~iT~ t~~ ~w~.~~..~ <br />Date <br />Date ~°~~~a~'~ <br />~ t~ <br /> ~~ ¢ ~" ~ - ~ <br />~'~ <br />Date ~ <br />Date ~ ~~' ` '.%.c,- ~ <br /> ~ <br />r*^ <br />~~ ~ ~ ` t a1 ~ i ~C~ ~ ~ E~` - " ~ '~'~ ~" 7 `''~~.~....~...~ ~ ~ ~~ <br />FOF~ USE BY ADMINISTRATION ONLY <br />~` ~r~ ~t ~~ <br />Capital Project No. S " °-~` ~~ ~°`" ACK .~ ~ ~ - F ~~~ "~ ~~`~~ -~ t~ ~~~ ~~ ~, ~~ ~"~ <br />~ <br />GL Title "~ : <br />~ Assignec <br />I Accounting by Date I <br />.~ ~~ g ~ ~.. <br />AT -ACHMEN~,TS ,~ r', " ,^,,..~~ Y~ ~ <br />~udget 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 lmprovement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Enginee~ing File GOLDENROD / Project Manager /UL Y2004 <br />