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,PRO~IECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> 7 Eugene, OR 97401 <br /> Service ID: ~ a~ SI P ~ L~JC JE (541) 682-5560 <br /> Project title: ~~C~ ~?'l,~~T~aut1'~ `~Lll t?~r'~(bl~ Pi~~ ~ ~ <br /> (/ocaiion and work descriplionJ <br /> Project manager /contact /private engineer: 1• ~ ~ ~C~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/engfhJ (widlhJ <br /> Wastewater ~rr3® Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City p ~ ` ' Assessments Private Other department <br /> 2-~ 4 ~ v ~ S 3 Zr. Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> `"11~Q15 `i Eo.1~T i5 4 1~A~'i' ~I~a~1~ i~ ~ (Z,E~~~ !~1-t.1~ <br /> i ~i ! ~`liuf;~.~4i4 JR~.'i~ iN'~-It Lr "l.r~ ~ [Y~i'~ ~"CU~ ~I..I.~C"~1 Cpl ~ S"t'~~l ~iil <br /> <br /> V;i~.i-~S t~--c~~s a~ lz-E.t-~~~t~-i-a i~ --~,t~ ~~.~~r I b "C1=lE <br /> 1'.~ j~~'t't,i:~ 1~.(~ 1T f~ <br /> ~.i't? "Z'Z~ <br /> ~ <br /> di ~1~'[~~. ~E~~ d~l~rt 1~fi 5 A~.1 i~ <br /> ~_~~1~ <br /> S ~l.[t~}.f t~1 'C4-l P C.IC i~+ta~ G~ F i~bl~ <br /> APPROVED: <br /> Project Manager a Date ~ <br /> Principal Engineer " ~ Date ~ ~ ~ <br /> Facilities Manager - ~ 4 Date <br /> y. <br /> City Engineers ~ ~ Date <br /> FOR USE BY ADMINCISTRATION ONLY <br /> Capital Project No. ACK J3z ~~3Z ~ ~x~~C <br /> GL Title `-~-9 ~ r 1 ~~-~Q~ <br /> Assign d by Date ~~Z~ <br /> Accou y Date <br /> ATiTACHMENTS: <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 ?ULY2004 <br /> <br />