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~... ~.~.`....~.. ... ~ V <br />~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />j -~.~ City of Eugene <br />244 E. Broadway <br />~ ~ Eugene, OR 97401 <br />Service ID: ~ ~ ~~ SID ~! PB ~GL ~JC _ JE ~ ~541) 682-5560 <br />Project title: pt ,R"t" "~i rf" ~~~.G c~ ~x ~~1 ny Z~~ ~~' <br />(/ocatio and woik descriptionJ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: _ <br />Wastewater, <br />Signal <br />(/engthJ (widlhJ <br />Stormwater <br />Street lights <br />New building construction Planning, other <br />Bike lanes / paths: <br />(Widrh) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Other department <br />2q Account code <br />Fed / State / Count / FAA _ ~ ~ %a 1 ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ 1 S , OC~ O i=v~2 ° I~ ~.c~ ~ '(~~V o ~ ~~ ~ ~ - ~r c~. ~ ` a .~ <br />APPROVED: <br />~ <br />Project Manager Date 1 ~' ~ ~ ' ~' ~ <br />P in ' I En neer <br />~ ~ <br />~ Date c~' r~"~~- <br />o <br />. t <br />Manager ~ ~ ~"Z-~" Date d Z° ~'~ ~~a <br />City Engineer Date I Z'~~`~'~G~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. B ` ~~~ L _ ACK _~~ ~ ~1 ~~~ ~~~~ ~~~~~~ <br />GL Title ~ ~~r ~~- ~ ~(ei ~ <br />Assigne y 'l~E 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 ^ Map <br />^ Request for Scoping Meeting <br />;~ <br />i <br />.n <br />i <br />~ <br />c.,~ <br />~ <br />0 <br />o~ <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JULY2004 <br />