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~, <br />R <br />~ ~ :~. ~ ~ <br />5u~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />i ~n~ Eugene, OR 97401 <br />I ~ / ~ ~ (541)682-5560 <br />Service ID: ~s1 SID PB GL ~JC JE~ <br />Project title: ~b, CQMA/l U-•t lril k(/df'TE k(~.,~ ~. <I~S - IL.I~ Ari jZ-r'p ~LF,~~ <br />(location and work descn nnnJ <br />~ S ~V E ~,~.UF ~lU~ ~ <br />- Project manager /contact /private engineer: <br /> <br />Concrete walks: <br />PROJECT SCOPE: <br />Paving: <br />Wastewater ~ Stormwater <br />~ aae~'h/ <br />Signal <br />New building construction <br />Street lights <br />Planning, other <br />(width/ <br />FUNDING SOURCES: <br />City Assessments Private <br />5Ur S-f~-`'.p <br />Fed /State /County /FAA. <br />COMMENTS / SPEC1AL PROJECT INFO. /INTERDEPARTMENTAL <br />Bike lanes /paths: <br />(widnJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code <br />( %, fixed) <br />K DESCRIPTION: <br />1-~ <br />SA~1,~ 11 <br />~, <br />`~~ <br /> <br /> <br />FOR USE BY ADMINISTFi'QTION NLY <br />capital Project No. ~ ~ eJ 2~ ~ ACK `3_~y, q''33 Z L x~cx ,c q ~ 5~b ~ <br />GL Title ~~~~ ~~T Q ! I~~ r'1C~1-t-1 ~, " 1 ~_, / 1 <br />Assigned b~f /~ i ~~ ~~~ Date ' <br />~~. <br />Accounting by Date <br />Date <br />Date U <br />Date <br />Date 1 ~~ ~~ ~ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer <br />A ACHMENTS: <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 /ULY2004 <br />