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- <br /> <br /> _ -PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> / ~ City of Eugene <br /> ~/Ln ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> /t / ~ (541)682-5560 <br /> Service ID: SID/ PB/GL r/JC JE <br /> Project title: QG <br /> ,~,~~cu~-b.c; ~as~_p~~u_,~~.,-~ecr s-f~rrn~~ ~eec~ Cf liTfs_~.5~ frees _ <br /> Project manager ontact private engineer: ~C~'?o_{__~{ S <br /> PROJECT SCOPE: <br /> Paving: L~r~/ Bike lanes /paths: / <br /> Concrete walks: S Sf etback /Curbside <br /> ~Y //e~mJ l~nl ~ <br /> Wastewater E 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 WORK DESCRIPTION: <br /> APPROVED: ~ r ~ \ IZ O <br /> Project Mana er ~H'~J Date <br /> I 9 <br /> Principal Engineer ~s <br /> O~~-L~~ Date 12- g~ <br /> Facilities Manager Date <br /> City Engine Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Projec~'No`. 3~1 ~ ACK L9J / ~ ~ <br /> GL Title ~ ` ~ <br /> As gned b ate ' Z <br /> counting Date <br /> ATTACHMENTS: ~Tl Jf ' ~ S <br /> ? Budget Estimate ? veloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet LSFjfgineering 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 /Atlministralion File PINK/Engineering File GOLDENROD/Project Manager. ?UL V20LN <br /> <br />