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PROJECT AUTHORIZATION FORM <br />Service ID: ~~Z S <br />Project titie: ~~ ~~_, G~ ~j ~ <br />(/ocation and work desc~iptionJ <br />~ <br />~~ <br />SID °/ PB" GL ~° JC ~ <br />,._ ~ ~~f( II__ . I <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />^` Eugene, OR 97401 <br />~~t ~ (541) 682-5560 <br />JE _ <br />Project manager ontact / private engineer: ~a'~'~ ~~ r."_ a ~,~~ <br /> v <br /> PROJECT SCOPE: <br />I <br />Paving: 3~ ~~'i e..s <br /> <br />Bike lanes / <br />aths: ! <br /> <br />Concrete waiks: - (wrdfhsJ p <br />(widlhJ <br />Setback / Curbside ~" <br /> (/englhJ <br />Wastewater -- (widlhJ <br />Stormwater ~ <br />Landscaping ~ <br /> Signal '- Street lights '- ROW required - <br /> New building construction ~~ Planning, other ~ Remodel ~ <br />FUNDING SOURCES: <br />City ~ ~33 Assessments Private <br />Fed / State / County / FAA <br />CO~M'''~M/ENTS / SPECIAL P~C <br />L/ 1/ S ~ Si a/H. ~ h. ~ `6 <br />Other department "- <br />Account code - <br />( %, fixed) <br />INFO. / INTERDEPARTM NTAL WORK DESICRIPTI9 N:f n <br />ve~y ~"E' ~'.~ u ~.e-1- ~ ,_. ~ ro ~ -~-t i ti ~ l~`aJ; a,.. ~f=- ~ ! ~ k' <br />APPROVED: <br />Project Manager Date ~ Z <br /> ~ <br />Principal Engineer Date " ~~n <br /> <br />Facilities Manager Date - <br />City Engineer Date '7~3~ ~~ <br />ATTACHMENTS: <br />~".. ~..Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />~~ _..;` <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ~ Map <br />^ Request for Scoping Meeting <br />0 <br />~ <br />f <br />U <br />I <br />O <br />a~ <br />-~ <br />~ <br />V1 <br />~ <br />~t7 <br />n <br />< <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />