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v v' ~ ~ Engineering <br /> PROJECT AUTHORIZATION FORM ~ public Works <br /> City of Eugene <br /> ~*7 244 E. Broadway <br /> Eugene, OR 97407 <br /> ? (547) 682-5560 <br /> Service ID:~ SID PB GL J~C J~~ <br /> Project title: ~1'') ..re- Z5_ ~LT?_~rSl_w~ ~~~K.?.K~~ e- 'k~ <br /> ~/IX331/O/19 x0/k dB6C/(7f/M~ <br /> b ~t"~O, µw <br /> r r; <br /> d a~ <br /> Project manager contact /private engineer: A'H" ~ r U ~ ' <br /> PROJECT SCOPE: <br /> Paving: P'~ • ~ ~:i Bike lanes /paths: /w~my <br /> Concrete walks: Setback /Curbside <br /> r~.,yrn~ /w~em/ <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 PROJE 1CT INFO. !INTER PARTMENTA WORK DESCRIPTION: J <br /> APPROVED: <br /> Project Manager ~ Date ~ Z- z <br /> Principal Engineer _ ~ p~ -Date a <br /> Facilities Manager _ Date / <br /> City Enginee Date t ~ ~G/° <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. `~~~C~~,., . . a AA\CK`/ 3 <br /> q 3~d ~~S~~y <br /> GL Title ~+~1~-' I Vr 1L.J12' ~~Wy / (,(y <br /> As ned b Date ° <br /> A countin y Date <br /> ATTACHMENTS: <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 Improvement Permit Application Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD! Project Manager ?UL Y2004 <br /> <br />