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_ _ <br /> PROJECT AUTHORIZATION FORM Englneeri"g <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ee-- Eugene, OR 97401 <br /> Service ID: y ~ ~ ~T" SID~PB L JC JE (541) 682-5560 <br /> Project title: P $ ~l ! ll C~.Ch e~k~k t: 5-t ~ r o M ~ 11 Ave • o ~ (fl-~ h AV ~ . <br /> (location and work descriplionf <br /> Project manager /contact /private engineer: M 0.'i ~ RO d r I Ci U 85 <br /> PROJECT SCOPE: t,~ <br /> Paving: ~ ~ ~ G • ~ I ~'k. ` Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater .Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City X Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 0.V ~'1 t' ~ t O ~ 1 llrl ! 11 S ~1 'G <br /> ~ ` Lla~e~c St. S~kr~e~~t o ~ c, ~ 3 R c, ov <br /> caw t~,Jnr, yse d for by d~e~ oL1~1~d cc~.:t ion ~ <br /> APPROVED: ~ ~ . <br /> Project Manager ~ Date <br /> Principal Engineer Date ~ 2`$ <br /> Facilities Manage Date <br /> City Engineer Date ~ a~ <br /> FOR USE BY ADMINIeS/TRATION ONLY <br /> Capital Project No. qq~~~ ~ ACK ~1 ~-R332- ~P1~x1C~~ ~gs~~~ <br /> GL Title ' <br /> Assigned by Date ~ <br /> Accounting by Date <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 lAl Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />