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~~v~ <br /> PROJECT AUTHORIZATION FORM a"g.neering <br /> Public Works <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> "'j - / (541) 682-5560 <br /> Service It: f ~ SID ~6 GL JC v JE <br /> Project title: ~~,.~6' ~i~ 5%G~~'~ /1 ~°~le ~1~~~f~~~ <br /> (/oc 'nand work descii ii <br /> Project manager contact /private engineer: ,~~J'~~' ? ~f~ ~~~s Y <br /> J <br /> PROJECT SCOPE: ~ ^P. e. <br /> Paving: r ~ , <br /> (widlhsJ <br /> Concrete walks: <br /> (/englhJ (widlhJ ~~~~~/`L%~ ~ ~ f <br /> Wastewater Stormwater <br /> Signal Street lights N Opp <br /> <br /> . J~ New building construction Planning, other ~ U , <br /> <br /> V 1 ~ ~ ~ 4~ i~~ ~ ~c~^~'~ <br /> FUNDING SOURCES. r 1'~ }~~C> <br /> y +'~~Assessments Private ~~~S~i~L ,~~~~~',~~~i~~~~wa~,, <br /> Cit <br /> Ac nt code <br /> Fed /State /County /FAA ` ~ ~ ~n I fixed) (~l <br /> COMMENTS /SPECIAL PROJECT INFO. / NTE DEPARTMENTAL WORK DESC IPTION: fl(.r`t'?i:~~ <br /> ~ ~ ~ ~ ~ <br /> C~ <br /> j APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer ~ Date ~ ~ ~ f <br /> .r- Facilities Manager Date <br /> City Engineer° Date <br /> V _ ~ <br /> FOR USE BY ADMINISTRATION ONLYf <br /> ~ j <br /> Capital Project No. ~ ~ ~ ~ ~ ACK f <br /> _ GL Title ~ <br /> 9 ~ <br /> Assign by Date 8 <br /> Acco tin Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition - 'I <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Applicati n Map <br /> ? Request for Scoping Meeting ~R~~~~~ ~'f-~i ~L~;i~9i~a,~~'~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />