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~~ ~ <br /> <br /> <br />~ ~ / <br />~'" <br />PROJECT AUTHORIZATION FORM ` Engineering <br /> Public Works <br /> <br />~ ~ ~ City of Eugene <br />~ ~ 244 E. Broadway <br /> <br />Service ID: 4~'~~ <br />tl~ <br />SID l~ PB ~ <br /> <br />GL ~JC ~ Eugene, OR 97401 <br />(541) 682-5560 <br />~ <br />~ <br />, ~ <br />Project title: ~t -~~ ~~-{~r~+-~ioY-c ~ ~~w~ ~ ~~L~-/.h.-- ~ ~l/(.~ JE <br />~ .~ ~-~,~ ~ <br />(/ocation and woik descnptionJ <br />Project manager / contact / private engineer: _ _ ~~' ~ ~ ~- t~t <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engthJ <br />Wastewater <br />Signal <br />Bike lanes / paths: <br />(widrh) <br />Setback / Curbside <br />1(wid7h t ~ <br />Stormwater ~5 ~ ~Ce Landscaping <br />Street lights <br />New building construction Planning, other <br />ROW required <br />Remodel <br />F~ DING SOURCES: <br />City ~~~ (~b Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PRa <br />~~~ ~ ~S ~ <br />1.~~.ev. ~, w~-t~~-,,. - <br />Other department <br />Account code _ <br />CT INFO. / INTERDEPARTMENTAL ~1I/ORI~ DESCRIPTION: <br />°- ~-tt~~ P~'i•~~-!-~ °'t- b k- ~(~°~, ~ 4~ a ~k ?.~fo <br />'~C t''~~ f~'~-S~ ~-~^u ~~~ti e <br />`~~~ ~ t~ e`'~1-~~ . <br />( %, fixed) <br />APPROVED: <br />Project Manager Date ~~«/~ ~P <br />Principal Engineer Date g°~~ "~ <br />Facilities Manager Date _ <br />City Engineer- Date~~ <br />ATTACHMENTS: <br />~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ SDC Budget Worksheet ^ En meerin A reement <br />g~ 9 9 ^ 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 />0 <br />c~: <br />~v <br />ca <br />i <br />0 <br />~ <br />~ <br />~~ <br />vi <br />~ <br />~ <br />