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- _ _ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> t~ (541)682-5560 <br /> Service ID: ~r/' SID ~ PB " GL ~ J,C JE <br /> Project title: ~~~1 T~--{~? P ~ " /~r ;'sue , ~y~ ~ ),•a ~ - ~ try <br /> cation and work descii tionJ a n ' <br /> //~,,~qq,{{,, / <br /> E '1'g ~ ~ ~.`y c/:J,r_ 7 , _ E- ' ~ ®t9?C.' 5 gn? 7"*~~, .l irr G'' E.U ~ t~~,Ct <br /> Project manager contact /private engineer: ~~J~,.~. ~~~y3T.~a/ <br /> PROJECT SCOPE: <br /> p l <br /> Paving: Bike anes / aths / <br /> (widfhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ ~~~t ~ Assessments Private Other department <br /> ~~e~u~a~ Account code <br /> Fed /State /County /FAA fixed) <br /> CO,/MENT, /SPECIAL PRQJECT`INFO. / INTE DE ARTM NTAL WO{ FpRK DESi,CRIPTION• ~ , <br /> c,, i ~ sue" Q ~ F V` C>";~ ~ 1~``/E c"l ~ fr .y~°y <br /> t° <br /> &tc <br /> APPROVED: <br /> Project Manager Date ~ ~ <br /> Principal Engineer ~ ~ Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. CJ~_ ACK~`•L~ <br /> , <br /> `'1 <br /> GL Title <br /> Assig d by Date ~ ~ <br /> Acc unting b Date <br /> <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />