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PROJECT AUTHORIZATION FORM <br />_. <br />/ <br />~ ~ ~ <br />~ ~~ <br />~ <br />Engineering <br />Public Works <br />Service ID: <br />p~ ~~~ ~ '~ ~~ <br />SID= PB _ GL _ JC ~ JE '~_ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />Project title: <br />Project manager / contact / private engineer: ~ s`C`~ ~~1~~ <br />1 <br />Wastewater aStormwater _ <br />Signal Street lights- <br />C~ v-6 cl~ ~ <br />NeJv buil~ng construction ~~4~~ Planning, other <br />PROJECT SCOPE: ~..~ ~ <br />~ 1~-~.I`~s~ ~' ~. ~ ` ~,,, , , <br />~ c~ ~, wc~~t~~ f~'~ '1~~s~~~-~~ H~ 4~,a-n~ ~k~a ~t`~`~,~~'~ ~~C.~ 1 <br />~°'~~~~~ j e~ (widr/isl (widrh) <br />~S~ ' ~~ ~ ~~~~ ~ Setback / Curbside <br />(/ength) (wid7hJ <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City f~~ r~v s~~c~ Assessments <br />P rivate <br />Other department <br />Accountcode - <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTER~D-+EPARTMENTAL WORK DESCRIPTION: <br />~tj~~ ~p ~l~ra 3^,L~,~T ~ -Aa ~' "'"_ •~.mr~i V~ •- ~~s.J' ~ ~ t~ <br />,/ht1°1.~..~. _ss_\ \ _ /3~ _ i S ~ n~ . °~t~ _ ~'. ~ _ ar~^ ~ .. a.. ~ .i.j--. [{~ P"/a... ~ <br />r <br />~~Oa' -.'~.GZ~' i,°l <br />APPROVED: <br />Project Manager- <br />Principal Engineer <br />Facilities Manager <br />City Engineer~,~ <br />Date ~~~C' ~ <br />Date ~ ' ~ ~~- '- ~ <br />Date - <br />Date 31Z'~v ~ <br />~~~~ O <br />0 <br />-o <br />rv <br />rv <br />i1.~ <br />ATJACHMENTS: <br />C~ ', ~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 +C~Map <br />~ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />