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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ! / ~ SID PB GL JC JE (541) 682-5560 <br /> Project title: ~i~ 9~ ~}~d ~ ~ ~G/$~~ ~j/~ ~ C,~ ~y~~'s(~ f~ <br /> V~~oik desCri fi~J C~~f l S~Y~ ~ ~ t-~° A~~ ~~~~~~V ~v'~ i•- <br /> Project manager contact //ff privi2Jate engineer: G' l 0/~' Y ~°y~~y <br /> PROJECT SCOPE: ~~i` <br /> Paving: ` ®F <br /> (widlhsJ r7 <br /> Concrete walks: `/"z'~'~J` <br /> (/englhJ (widlhJ <br /> Wastewater Stormwater <br /> Signal Street lights ~q- O(~Q <br /> New building construction Planning, other "G'Y"~,! ~~j~, ~r <br /> ~i~?-~- i~t5 ~.c~,z <br /> FUNDING SOURCES. <br /> City ~ ~ Assessments Private ~`~-5~,;,r.y,.,x,- Itil; w~ Jv~. i~S~cfik;,,,, ' ~I <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / EDEPAR~MENTA WORK D ~SC~~~ION:~ lrj~ <br /> o .,r' / l.. <br /> ~ ~ ~ ill 1. " <br /> L~~ ~ <br /> APPROVED: - ~ ~ <br /> Project Manager Date <br /> Principal Engineer Date ~ ~ r <br /> Facilities Manager Date <br /> City Engineer Date <br /> I <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date r <br /> i <br /> t <br /> I <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 Applicat~n Map <br /> ? Request for Scoping Meeting ~R~~~~~ ~!,~r~~, 5'€~a~'~"~~~ <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />