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i ,d. <br /> j' <br /> i1 . . <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ' ~ j'.-. (541) 682-5560 <br /> Service ID: ~ `5-~ . SID PB GL JC JE <br /> Project title: Q`~,~t~ ~t Ir'~ ~~.~z~vt ~ i ~ <br /> (/ocalion and woikd~c~ipiionJ ~ <br /> <br /> i Project manager /contact /private engineer: '2~lri 1 <br /> <br /> I <br /> PROJECT SCOPE: ~ i,, <br /> Paving: ~,TJ ~ J~ ~1~~tC._ ~j~ Bike lanes /paths: ~h~~~~?J~ <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> ~~~Lt~ ah ®p'~~ <br /> Signal t Ilghts ROW required <br /> New building construction_ Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department ~ ??e-~ l~y?~O <br /> Account code ~ S~a4' KX14YClC " <br /> Fed /State /County /FAA fixed) <br /> <br /> ~ COMMEN ,S /ASP CIAL ROJECT 1 l~O. / INTERDr E1ARTMENTAL WORK DESCRIPTION: <br /> C`C.t ~ ~ c` V~1 <br /> ~ ~ v~^ . ~ ~ <br /> ~ l(~.T~ , t d <br /> ~ ~ <br /> APPROVED: , <br /> Pro'ectMana er l~nx~f~id~~ ~ ~ _ <br /> 1 9 ---r-. Date ~ d ` ~ <br /> Principal Engineer _ _ ~>~i. Date f °r t~~1 <br /> Facilities Manager. Date <br /> City Engineer ~ Date ~ ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK f~ ~ "~~a,~e' ~ <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 Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />