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PROJECT AUTHORIZATION FORM engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ,{_~;i ~ ~ / (541) 682-5560 <br /> Service ID: `"C `C ~ VVV <br /> SID PB GL <br /> JCJE <br /> i~9' c;, <br /> Project title ` V~119t"T~r_1'Z. ~~(L'CT'l~~ 011 <br /> (location and work desciiptionJ <br /> ~Z~~' ~ Ill ®~S i111 ~f~Ei~ <br /> o'ect <br /> mana a contact /private engineer: _ ~ i~~l t,T~ ~Ti4~13.5 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (widlhJ <br /> Wastewater R~A~3 t'Z.~P Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNNG SOURCES: <br /> City ~ ~l~C, Assessments Private Other department <br /> <br /> I <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL (PROJECT INFO. /INTERDEPARTMENTAL WORK DESCR ,TION: <br /> F of Cd.v~' Gs't ` ~ 11.i~%~1 ~ ~ ' ~i~ ~ d <br /> i' qc,,~..~. ° ~ <br /> ~ ~ i+~~v ~roL~ <br /> ` ~ S 3 y~ g ~ i~ <br /> APPROVED: P <br /> Project Manager ~ -~-v Date ` c <br /> Principal Engineer ~ Date / <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~~531 S ~ <br /> Capital Project No. ACK~~ `'t~ ~i~I~G~~ <br /> R <br /> GL Title i ~ l~~ ~ ~ <br /> Assign by Date ~ t <br /> Accoun ' g b Date <br /> AT ACHMENTS: <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 C'l~Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />