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~\ <br />PROJECT AUTHORIZATION FORM I=_ngineeri"g <br />'Public Works <br />~( City of Eugene <br />~'"~ 244 E. Broadway <br />Eugene, OR 97401 <br />A / ~ ~ ~ ~ (541)682-5560 <br />Service ID: ~ SID PB GL JC JE~ <br />Project title: __ 2~~ Y~64ST~~l~TtIL S~El~l0.T3t[.iT~m~ - ~~SE 'Iti. <br />(location and work description) <br />Bps ~ ~! S P~R1~r~z 5 . ~S~ 3 - ~ ~ ~~k- ~l D~ ~ ~ <br />/contact /private engineer: "~.~ l~ 5-'tA-~lll5 <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/en thf <br />Wastewater ~IttDbb L~ Stormwater <br />Signal <br />New building construction <br />Street lights <br />Planning, other <br />(width) <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City tl Assessments <br />~'~~ <br />Other department <br />Account code <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Enginee~ <br />Date l « D <br />Date ~ ` 'Va <br />Date <br />Date -~~w <br />FOR' USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ J ~ ACK ~~~ 7 ' i ~~~- ~ ~ X~X~ ~~ I ~~ <br />GL Title ~ ~ ~ <br />Assigned by Date ~ ~ d <br />Accounting by Da#e--~ ~ra~. <br />Private <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENT <br />ATTACHMENTS: <br />[o~Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance <br />^ Developer Agreement ^ Engineer's Report Orr Improvement Petition <br />^ Engineering Agreement ^~Engineering Service Work Request <br />^ Public Improvement Permit Application [~' Map <br />YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /UL Y2004 <br />( %, fixed) <br />