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~_ <br />,;:.o <br />. ~ ~ V <br />PRG,~ECT AUTHORIZATION FORM ~1. <br /> <br />Engineering <br />Public Works <br />yyq~ <br />r ~ICinpl <br />SID / PB ~GL <br />~~" tr.. ~e ~i rn <br />V ~~X <br />JC JE <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />~/bcation and work description/ ~ <br />Project manager /contact /private engineer: rC <br />Service ID:_ <br />Project title: <br />PROJECT SCOPE: <br />Paving: Wt^~~'~-~ ~" ~ Bike lanes /paths: <br />(widlhsJ (widlhJ <br />Concrete walks: Setback /Curbside <br />' V O Lenglhl (widlhJ <br />Wastewater o Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUND SOURCES: <br />,~~~ ,(7007 Assessments Private Other department <br />~`r j~<"1 Account code <br />Fed IS>;ate /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />~~.rvr~ Se12~ ~Anp~~ ~'Dr ~ 1 r1'~;lltJ,. +- ~ ~~c r~~-~ <br />APPROVED: I ~2 ~ ,,,~ ~~ ~7~ <br />Project Manager Date ~ ~ [~V <br />Prince al Engineer Date ' <br />~~+~~~e~Manager -~~ Date <br />City Engineer ~~ ~ - Date f~f~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ J 5~ 7 ~ ACK SI 2 ~ ~3~ r%D~CX~CaC. `( ~ ~ ~ J <br />GL Title ~!/T'' IJ~--~+~1 Y'~'~ ~~l(~~~U~ <br />Assigned b Date ~/ <br />Accounting by 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 />i <br />