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I <br /> PROJECT AUTHORIZATION FORM Er,gineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> y ~P y ~ ~ (541) 6820- <br /> 560401 <br /> Service ID:_ <br /> SID PB L JC _ JE <br /> <br /> r <br /> Project title: PBM I ~IG~. e'~'~'@. 'FC'OM Z.qt VC• '~'0 ~~0 Av'~. <br /> (location and work desc~ipiionJ <br /> Project manager /contact /private engineer: M 0.~ ~ RO c~ r I ci U'25 <br /> PROJECT SCOPE: <br /> Paving: ~1 l ~ G , ~ t e~ t.~15 <br /> (wid/hsJ Bike lanes /paths: <br /> (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <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 /> T o~vk ra ~~o ~ 1wm'f,n s h~ <br /> i tla~rn~.i~e 5~k s~tr~~~ o r ' ~,L . 3 A v ov <br /> c~itlJn~ used ~or_ bv~~et_~k_ ot~lc~GO~-~Lbn ~ <br /> v ~ <br /> APPROVED: J <br /> Project Manager Date <br /> Principal Engineer Date ~ 2~~h ~ <br /> Facilities Manage Date <br /> City Engineer Date S~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> eI <br /> Capital Project No. ~ ~ ACK ^i ~J-33.2 ~x~('?G ^ ~qJ`?~7'~ <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 ~l Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/Project Manager ?ULY2004 <br /> <br />