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<br /> ._-.---.PROJECT AUTHORIZATION FORM O Engineering <br /> Public Works <br /> Ciry of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ? ~ V (547) 662-5560 <br /> Service ID: 7~~ ~ SID_ PB GL JC _ JE <br /> Project title: PP C~1 3rd Ay'e -$,p 1~•+kj <br /> (/cee(ron BrM wrorkalvx~ an/ <br /> roject rnanag /contact /private engineer: ~~hT7 ~ c})~QI(jUFs <br /> PROJECT SCOPE: <br /> Paving: /~hs Bike lanes /paths: <br /> (wmrn) <br /> Concrete walks: Setback /Curbside <br /> pengml (wM/n/ <br /> Wastewater 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 /> X15-ZE4LI~SI~t~ P•,ranelZF~I~K---IN-IeitT~~L BU[2~ET rp~E~l/J <br /> ~Re~.iM.l-r~?>2Y- 1~s~bn of ii ~vFMgJ~!_~PPgE~F~v,~C1C~[J /~~F~r• r,, t~ X33 <br /> gUp~i.1T ~~~Cl~ SraaFT~lni?~ LEJ <br /> ~~2-VRTICy~ l~l. R~ ~1SFf7 <br /> FCC <br /> ~4L~~T-~I.LCX-~DC/J <br /> APPROVED: <br /> Project Manager KM Date ~~pp <br /> Principal Enginee~~„i Date~~J <br /> Facilities Manager Date <br /> City Engineer_ Date Z U~/ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1~ U~~ A~CK y13~ f R ~ , /~~1~`~L~ <br /> GL Title r r' yt~ ` ~ ~'v v 7 .~~f <br /> Assig d by U Date ~~!--<L~ <br /> Ac unting b 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 ~j Map <br /> ? Request far Scoping Meeting <br /> ENG 415 WHI7E /Finance YELLOW / Atlministra[ion File PINK 1 Engineering Fite GOLDENROD l Protect Manager ?UL Y2004 <br /> <br />