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~$ C~- ~.. <br />~~ ~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />1 "' 244 E. Broadway <br />' Eugene, OR 97401 <br />(~ (541) 682-5560 <br />Service ID: y ~~~~ SID ~PB ~GL ~JC~JE _ <br />Project title: -Gi,~~' ~ r~ 1~~~~~+ `~.: l~c -h'c~'1 % C U t~ <br />(/ocalion and work desciiplionJ <br />Project manager / contact / private engineer: 1~ i ~/~ l~i~ ctl ~ 1! <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (wid~hJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City .~ s t- S~vc~rn -~'Fqss~sments Private <br />Other department <br />Accountcode - <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />_- <br />~ ~ll~~ i'~~otie.ri {r'~.,-~ ~ ~I - `~"~~~3 ~ °15S~~v ~~ ~ <br />~,~S~G~ ~~r' l~r~c:~~~~-~C_~f ~¢.~e~'~~t~~~~~ C~~~r~~ C'o7-t~f~`~1--~._~~v1.xl %~Se ~~~~wi~`{' %'G~ /.l~~~f"1Gtr~3' <br />~l>ILzCG`c7~1(i~?'1,"~~ (91"/it~ y/ ~~ <br />APPROVED: <br />Proj~ct Manager <br />City Engineer. <br />Date <br />Date <br />Date _- ~~~"IL' ~' <br />Date ~ °~~('~ ``C',~C <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~-~-5 ~~~ ACK ~~~ ~ ~~ ~ ~~ ~ ~~~~~~ <br />GL Title ~ ~~~~ ~ <br />~ ~ ~~sl~ <br />Accounting by <br />Date ~ ~ ~ ~ <br />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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />