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_ ~ " ~-----°- <br />PROJECT AUTHORIZATION FORM ~~'~ ~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />Service ID: ~'~~~, SID ~ PB " GL~JC~O JE ~541)682-5560 <br />Projecttitle: ~~~~titi't~-~~ ~"`~Lkyl~1'~~ ~~7~~ - ~i,tric~ ~C~~ iw, ~~~, <br />(/ocation and wo k desciiptio a~ <br />`1~-t~~~~.i.1, ~ ~z C~ ~K~~1/iJjL. , ~~ 4~ ~~ ~~ ~/~w ~ <br />Project manager / contact / private engineer: ~s~~~ ~T~~`~.- <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsl (widlhJ <br />Concrete walks: Setback / Curbside <br />(/e thJ (widlhJ <br />Wastewater ~~'r ~D~~ ~ Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />APPROVED: , ' <br />Project Manager ~ ,~'''``~ Date- t~~Z=~ ~ <br />~ <br />Principal Engineer Date <br />Facilities Manage Date <br />City Engineer ~~ _ Date i~- ~'" 8`~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. -0 ° ~ ~ ~ ~ ACK J~~~ ~~~~c~ ~3~~ ~` ~ ~i `~ ~ <br />GL Title ~ `~ ' °'~'~ ~ ~ c~~~ S V~- ~~ <br />Assigne by Date ~~ i~ ~ <br />Accounting by Date <br />A,TTACHM ENTS: <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 />FUNDING SOURCES: <br />City ~J~J~Z _ Assessments Private Other department <br />~~~;~~~ ~` ~ Account code <br />Fed / State / County / FAA (%, fixed) <br />