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~ ~ <br />6~ <br />PROJECT AUTHORIZATION FORM ~~~ <br />~ ~ ~~ , <br />Service ID: - ~'4'3S ~~ ~ <br />SID 4/ PB -' GL JC ~ <br />Project title: t'1" T G"~,'7c~S~t`~ ~$ ~ ~rpNn. ~ ~~ ~ ~ <br />(/ocabon and woik descnptio ) C <br />Engineering <br />Public Works <br /> City of Eugene <br />~ 244 E. Broadway <br />~ Eugene, OR 97401 <br />.~ (541) 682-5560 <br />JE <br />i-~i S ~~-~ <br />Project manager contact / private engineer: a '' ~2$ <br />PROJECT SCOPE: <br />Paving: ~Z ~ U~'Y~ eS Bike lanes / paths: '~ <br />(widlhsJ ~widrh~ <br />Concrete walks: ' Setback / Curbside `- <br />(/enqthJ (widlhJ <br />Wastewater ~ Stormwater Landscaping <br />Signal Street lights ROW required ^ <br />New building construction r Planning, other Remodel ~ <br />FUNDING SOURCES: <br />City r~~ l33 Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJEC' IN' O. /~ TERpEPARTMEN~ <br />-T"/. ~ _ ~ _ . 1 <br />- Other department <br />Accountcode '- <br />( %, fixed) <br />WORK DESCRIPTION• ~ <br />2 i~ fb-; .t..~i'- ;.~.: ~"7~,~.tl'1~.,._ e~ lOS <<. <br />APPROVED: <br />Project Manager- <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date Z ~ <br />Date ? ~_C-~ <br />Date <br />Date 7~3/ 6~ <br />FOR USE BY ADMINISTRATION ON~Y <br />Capital Project No. ~ ~ ~ ~~ ~ ACK _ 1 ~~ `'`~~~ ~ ~ <br />GL Title ~ ~~ ~ ~ ~ ~ ~ ~ <br />Assigned <br />Y - Date ~ ~ ~ <br />Accounting by <br />Date <br />ATTACHMENTS: <br />r- ~¢.Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />E ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />`4..,_ . <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application C~. Map <br />^ Request for Scoping Meeting <br />0 <br />cx; <br />~ <br />~~ <br />~ <br />0 <br />U~ <br />_~ <br />C> <br />(V <br />~ <br />G <br />a <br />~ <br />< <br />0 <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />