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PROJECT AUTHORIZATION FORM <br />i. ~ <br />Service ID: ~~~~~ <br />Project title: ~~~ ~ W64~~ ~~l~/t <br />(/ocaiio and wqik desciipti nJ <br />V~i'~/~.,,r~ ta.s !~ t~ r.~A,n r.~~ t~1 <br />Project manage / contact / private engineer: ~i~V1 c <br />~~ ~ <br />~.----- <br />~~~ ~ <br />Engineering <br />~ Public Works <br />City of Eugene <br />~ ~ 244 E. Broadway <br />Eugene, OR 97401 <br />~~ ~/ ~ / /~j (541) 682-5560 <br />SID ' PB '" GL _ JC _ JE'~7 <br />r~ <br />Y~=-,~.An rY1 ~ ~~ ~ f~~:~ t~ ~ 1~~ ~~'t.~Ga.~'. ~ <br />~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (wid~hJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (wid~hJ <br />Wastewater x Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDrING SOURCES: <br />City 1~~7~v 33~ Assessments Private Other department <br />~'"~ b~'~-''~~ ~~- Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />~i <br />;- ~ ~ ~s ,0~~.~,~- ~ o ~~ C~~ ,~c~~ ~-t~ ,~-~-n ~~~~~ 1~~~-~~c~~ ~ <br />_ ~ ~~ ~ ~ a - <br />~ . ~ ,~ - s ~s ta `~ ~ 1'7 <br />r~ S ` F L In~s VI 'ni~vctt,~ , I.S S~ :.~ 1~ <br />~ ~~,~sa~ tJ <br />APPROVED: R <br />Project Manager Date ~~`f~~~ <br />Principal Engineer Date Z` t-~ `~~~ <br />Facilities Manager ~-- Date ~° <br />City Engineer ~" " ;~~~ ~~ ~~ ~ Date { ~r'~ / °~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. "~ ~~ `~ ~ ACK ~~ "L~~~ (~L~~~ ~l~ ~ 1 ~~7 ~ <br />GL Title ~ ~/ ~tP 1<.~ -~~J ~~.1 ~~51 ~l'°' ~ ~CY1 I 1^ Yl, L~ <br />Assigned <br />Accounting by <br />~- <br />Date <br />Date <br />ATTACHMENTS: <br />,' ,~j 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 />