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J <br /> PROJECT AUTHORIZATION FORM ® Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~ / Eugene, OR 97401 <br /> 1.~ V ? (541) 662-5560 <br /> Service ID: 1 ~ 1~ SID PB GL JC JE <br /> Project title: ~'P P 33rd Ave r <J_ 41 i 1 ~ ?_a„r tj S+ _ } 0 l,~ t 1\ C~i~~~,~,_~~ <br /> //ocelim einY aoik desmipliar/ <br /> roject manag /contact /private engineer: dr 4 ~U' es <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: /win/ <br /> Concrete walks: Setback /Curbside <br /> peigm/ /widNU <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City X Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> -r s11 acme i~s~ two a,~rtho c i ~e $19 <br /> K ~l.r~~q~ti t~ o_ <br /> F~,~,-d 133_~,~3.a.,e <br /> !c_~ Y s~~~ ~L~41 tF~?r <br /> -w111 ee ~se~d -hoc 4o~A~e~t~o\1D-s.~t'y.on <br /> APPROVED: <br /> Project Manager_ Date <br /> Principal Engineer Date F'~~ <br /> Facilities Manager Date <br /> City Engineer Dated°g <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No.~ ACK1 <br /> 1~' -Ql~, <br /> '~1 <br /> (~S.l~l_/~ <br /> GL Title - ~ ~ l llw~~ lJ~~ -~-"^-e-- ~y^ <br /> As gned by Date ~ O <br /> A countin 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 /> <br /> ENG 415 WHITE /Finance YELLOW / Atlministratlon File PINK /Engineering File GOLDENROD /Project Manager ?UL V2004 <br /> <br />