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. ~I~ r1 <br /> - <br /> ` RROJECT AUTHORIZATION FORM ~ C' Engineering <br /> j ~ Public Works <br /> ` City of Eugene <br /> 244 E. Broadway <br /> I Eugene, OR 97401 <br /> Service ID: / Z.. ~ - / ~ (541) 682-5560 <br /> SID ~ PB GL y JC ~ JE~ <br /> Project title: _ ~°~Y1 ~ ~ ~Q. /rt~ ~u~„f~~ (,r ~ C ~ ~~y~ <br /> (location ano' work descnp ronJ <br /> _ Y6S <br /> Project manager /contact /private engineer: / S /~2~(/-PTC~,a~~o~ <br /> j PROJECT SCOPE: <br /> 21 ~ ' <br /> Paving: Bike lanes /paths: <br /> (widths) /widlhJ <br /> i Concrete walks: Setback / urbsi <br /> ~ ~ (length) (wrdl <br /> Wastewater p Stormwater ~ ~ Landscaping <br /> Signal Street lights ROW required <br /> ~ New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> ~ Fed`/ State /County /FAA fixed) <br /> `'COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,';,;y <br /> d, <br /> i~1' <br /> _ <br /> APPROVED: <br /> Project Manager Date <br /> <br /> i I Principal Engineer Date ~ - <br /> i <br /> ~ Facilities Manager Date <br /> City Engineer Date~~'.'~i~ <br /> I <br /> I FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ t~X,~"~ r ~ / 7~~ <br /> ` , ' j <br /> GL Title I~u'~tC C,Gb d j U l s ~ U? 1 <br /> ~ ~ <br /> Assigned Date ~ ! ~`-F~ <br /> Accounting by Date ~ <br /> i <br /> i <br /> E <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 tel. I O' <br /> ENG 415 WHITE /Finance YELLOW/ Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />