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. s~~ ~---- <br />PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br />,,- City of Eugene <br />% <br />7 244 E. Broadway <br />. <br />__ <br />y 5~ O <br />/~ / <br />~ <br />/ <br />~ Eugene, OR 97401 <br />(541) 682-5560 <br />Service ID: SID 1/ PB <br />GL ~! JC ?~ JE <br />Project title: ~ p P 2-~~ $ S~ V~''~' LI 'rJf'~Cli~ ~ C' ~~1 ~, C~'~, <br />(/ocation and woik desciiptionJ <br />Project manager / contact / private engineer: ~ a~ ~ ~C~ ~ I Q V E,S <br />PROJECT SCOPE: <br />Paving: V A.C',1 ~ 5 Bike lanes / paths: <br />~w~drns~ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engfhJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />c~ty F~nd t33 Assessments Private <br />Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />ThiS is ar~ i,ni+i a- h~~~.~~+ r~e.n ~~e.s+ -F~r nrl~ t P_r:4~ ini <br />( %, fixed) <br />•P1 V1 A~ ~ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer <br />Date `~ ~ <br />Date i 4 <br />Date ~o <br />Date 1, ~ ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~ ~ ~~ ACK ' ~J ~~~ ~ /~~~ ~`t~~ ~ <br />GLTitle ~~~ ~°'~~dt ~' 1N'_ ~ ~ ~r~'Xli~ <br />Assigned by <br />Accounting by <br />Date <br />ATTACHMENTS: <br />~ `~~' Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~.- ~~~`DC 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 />Date ~~ ~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />