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`P'ROJECT AUTHORIZATION FORM I=_ngl"eerir,g <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ ~ SID i~ PB ~GL JC JE <br /> Project title: ~~p-~ L.k. ~R Fib y ~tr f1m L~~ ~ ~e~~ 1~. 'Fp~,c.1~~'~tnh ~ G~L~,,,,o . <br /> (location and work desciiptionJ <br /> Project manager /contact /private engineer: ~c~~:~~I~S <br /> PROJECT SCOPE: <br /> Paving: 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 ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T''r•1i"~~,~c~~t~,.~5'f' 1~ ~T~L2l'Z L..~ K IN jiJ1~1'~~1_.. _ :5i ;FT' T~ t'iE1'~iA,~ <br /> ~ <br /> ~G t~.~hl°i" 5 ~ =~'t"2t= T" A-t~ b D~.ll ,i~ ~.5.~ QJ~+~r e ~~J ~.JI f.t- R ) ~ f'=' lJ ~,2(Z <br /> APPROVED: ~ jj <br /> Project Manager Date ~r <br /> Principal Engineer ~ ~ Date ~ ~d~ <br /> Facilities Manager ~ Date <br /> City Engineer Date / <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 7 ACK 1~'~ { <br /> GL Title~~ ~ ~i~'y~l~~"'~/1 <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 ~1 Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />