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~ ~ <br />~ <br />PROJECT AUTHORIZATION FORM E"g'"eer'"g <br />Public Works <br />, -, . City of Eugene <br />~ 244 E. Broadway <br />~ ~ ~ ~ ~ ~ ~ ~ ~ ugene, OR 97401 <br />541)682-5560 <br />Service ID: SID PB GL JC _ JE _ <br />Project title: ~ !~ °1' " ~ ~4 ~'6 F--~ t' ~ ,4 /~ l~ (J c~ a4'1-~ ~GC'~ ~ <br />(/ocafio and woik desc~iplionJ <br />Project manager / contact / private engineer: ~~~..1 ~-~ I l.al~. l t~ ~a <br />PROJECT SCOPE: ~ <br />Paving: v <br />Concrete walks: <br />(/englhJ <br />Wastewater <br />Signal <br />W i~- S~U ~~7 b ~ <br />(widlnsJ <br />(widlhJ <br />Stormwater <br />Street lights <br />New building construction Planning, other <br />Bike lanes / paths: <br />(widfhJ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Other department <br />Account code <br />Fed / State / County FAA ~ ~` ~~ ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ ~ OI~C~ lv~El~~b (-L~~L '~`-~~ ,P.IVe~~V°~il~J"F' <br />APPROVED: <br />Project Manager ~ Date ~ ~' ~ ~' ~ ~ <br />P in ~~I ~ineer Date ~ Z-'' ~~"~~o <br />~~c~s IC~anager ' ' '~`~~"" Date '~'L ~ /~ ~~ <br />City Enginee Date ~? ~~ ~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. -1" ~~ ~ L.J ACK ~ ~~ ~ ~~ / [~"~-'~-~ ~ ' ~~~ v <br />GL Title v ~~~ P ~ ~ ~~ ~ <br />~~ , ~ <br />Assigned b Date <br />Accounting y Date <br />__ ATTACHMENTS: <br />~ !^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />,_ . <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 />N <br />~ <br />c <br />~ <br />~_ <br />0 <br />u~ <br />G~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />