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; ' ' . . ~. . , 3 ~ ~~I <br />n-, . ~ . <br />PROJECT AUTHORIZATION FORM ~ ~ Engineering <br />c=~~ Public Works <br />City of Eugene <br />; , 244 E. Broadway <br />,. <br />~ ~ ~ ~ ~ Eugene, OR 97401 <br />~ (541)682-5560 <br />Service ID: ~~~ 9 SID PB _ GL _ JC JE _ <br />Project title: <br />~~~~~°~Gl/Q~_-~~r~ ~ <br />(/ocati n d wo~k descriplionJ ~ ~~~ ) _ <br />.~~/ f4 ~GS~d ~'t°E ,~ ~ ~/L, , ./Qi~Gji~'I1ifA~Gr~ ~ •~' ~i~Ll <br />~ ~. O~ .-. A~--- - -• ~ C~ <br />rro~ect manager / contact / prtvate engineer: <br />PROJECT SCOPE: ~ <br />Paving: ~~ Bike lanes / paths: _ <br />(widlhsJ <br />Concrete walks: . P~ / Curbside <br />f I (/engthJ (widlhJ <br />Wastewater __ Stormwater .~~~iVlF~2~ Landscaping <br />Signal Street lights t ROW required <br />New building constructi <br />FUNDING SOURCES: <br />City Assessments <br />Remodel <br />Private Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />`,_ ; <br />~, f ; <br />( %, fixed) <br />APPROVED: <br />Project Manage~r- <br />Principal Engin~er <br />Facilities Manager <br />City Engineer~; <br />Date <br />Date ~ <br />Date <br />Date ~7 ~5~~/ -7 <br />ATTACHMENTS: ~ ~ Q °'1 ~ ~ <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 />Planning, other <br />~w~drn~ <br />