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~ PROJECT AUTHORIZATION FORM n~ ~ Engineering <br />~~ Public Works <br />i' . City of Eugene <br />'~ 244 E. Broadway <br />' Eugene, OR 97401 <br />Service ID: ~~~ Z SID ~ PB ~GL ~ JC i% ~E _ (541) 682-5560 <br />Project title: C+' ~ s _~ ~. ,~. V¢~ d=,l~oy~. S~,,~~, u~~ t9~p~c~+~q <br />(/ocation and wo~k desciiplionJ <br />Project manager contact / private engineer: U CT <br />PROJECT SCOPE: <br />Paving: <br />(widrhsJ <br />Concrete walks: <br />(/engthJ <br />Wastewater Stormwater _ <br />Signal Street lights _ <br />New building construction Planning, other <br />(wid/hJ <br />Bike lanes / paths: <br />(wid7hJ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel ___ <br />FUNDING SOURCES: <br />City Assessments Private _ Other department <br />Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJE T INFO / INTERDEPARTMENTAL WO K DEpSCRIPTI N: <br />~~t I' 1S ~ tL i v~ ~ ~~` ~ .•.cf ' ~ ~w.~~ <br />^ ~n .+2~YK.~.. ~ . <br />r-.~..~_ ,~z .~ ----- a~..c ,~ ~1--- - o ,~ ~i ~ a ._-- - ~~- - -~i~ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date ~ ~ ~ - <br />Date ' 2 '' <br />Date _ <br />Date G ~?!~`~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~~ ~ ~ ~ ACK ~ ~ ~ ' ~~ ~~ - ~~ ~~ X~' ° ~7 7~L~7~°~ <br />GL Title ~~ ~~2~'s°~l ~ a'° C ~a,d(J~ /,(a~ -- ~S~ b'1~-r~ <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 L~~,Map <br />^ Request for Scoping Meeting <br />2 <br />C> <br />~ <br />~' <br />0 <br />x- <br />c <br />~.~ <br />~.; <br />_~, <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />