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~ <br /> I ; / <br /> v, f v <br /> PROJECT AUTHORIZATION FORM ~"1"C'' Engineering <br /> Public Works <br /> City of Eugene <br /> j - 244 E. Broadway <br /> 1 Eugene, OR 97401 <br /> ;r ~ / ~ ` (541) 682-5560 <br /> ervice ID: SID) PB GL JC JE ~ <br /> Pro ect title: X ~i <br /> (location ano' rk desciiptioy <br /> i <br /> ' I <br /> Ii ~ roject manager /contact /private engineer: Q- <br /> + I PROJECT SCOPE: ' <br /> I _ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~'(/engfhJ (width) <br /> Wastewater Stormwater Landscaping <br /> I - <br /> ~ Signal Street lights ROW required i <br /> New building construction Planning, other Remodel <br /> r <br /> ~ FUNDING SOURCES. <br /> City Assessments Private Other department 1 <br /> Account code <br /> Fed /State /Count /FAA <br /> Y fixed) <br /> ~OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> . ~ <br /> r~ j <br /> j APPROVED: <br /> ~ project Manage Date <br /> Principal Engineer Date ~ <br /> ~ Facilities Manager Date <br /> City Engineer - `v Date y,--~~~~ <br /> FOR USE BY ADMINISTRATION ONLY ! <br /> Capital Project No. ~ ~i ~ ~ ACK 3 ~ ~/`-~"~x~ 3 / `f 7/ `J <br /> ~ GL Title ~ I ~ / I Vv ~ ~~~CZ 35 5 ~ Z S <br /> i <br /> Assigned b Date ~ ~ /V <br /> Accounting by Date <br /> <br /> I <br /> f AT~'ACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ' SDC Budget Worksheet C~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ /O <br /> ENG 415 WHITE /Finance YELLOW /Administration File P(INK /Engineering File GOLDENROD /Project Manager ?UL Y20t74 <br /> r" <br /> ~d <br /> <br />