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y~ <br /> I <br /> _ n <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> P~ <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ s (541) 682-5560 <br /> . ~ ~ SID PB GL ~ JC ~JE ~ " <br /> Service ID: ~ <br /> Project title: , <br /> (/ocalion and work desciipiionJ ~ <br /> - a ~.M ' ~ j; ~i <br /> Project manager' contact /private engineer: ~ ~Yt?a t" ~1r <br /> 1 <br /> PROJECT SCOPE: j <br /> e r <br /> Paving: Bi lanes path <br /> r., <br /> (widlhsJ (widlhJ , <br /> <br /> ~ Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping V <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel , <br /> FUNDING SOURCES: <br /> City Assessments Private Other department ~ _ <br /> r~~~'~ Account code ~"f j <br /> Fed /State /County /FAA ~ fixed) <br /> CO ~IIENTS /,SPECIAL P OJECT INFO. / INT RDEPARTN(ENTA jWpRK DES IPT~ON• ~ <br /> ,e n <br /> . ~ <br /> r <br /> ~ ~ 4 <br /> 9 --s ~ 5 ~ .w A~ ~4 ..3,_ gar ?',.f~'',g~.;~;y~. p,~,~- <br /> ,8, ~ rf ~ ra , Via. ~ _Q ~e,; ~ r~ ~s~ ~ ~ p <br /> ' APPROVED: ~ <br /> Project Manager Date - 4,# <br /> Princi al En Ineer _ Date d <br /> p 9~ : <br /> Facilities Manager , Date - <br /> aQ <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. <br /> GL Title <br /> Assi ned b Date ~ <br /> 9 Y <br /> i <br /> Accounting by Date <br /> ATTACHMENTS:} ~'~j~ ' <br /> rg Estirwta~te ~ ' ~ ? 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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />