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~~ <br />PROJECT AUTHORIZATION FORM ~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />//~~ -~''' nn (541) 682-5560 <br />Service ID: /~1`,7tt1 SIDPB GL C ~JE <br />Project title: ~~ ~~./~ ~ ~~Y.~ ~ ~ ~~ <br />(location and work desciiptionJ <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: ~ ' / <br />Paving: L-I~% ~17 <br />Concrete walks: <br />(length) <br />Wastewater <br />Signal <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />(widl~A ~ 1 <br />Stormwater ~^~ ~ ~_ Landscaping <br />Street lights <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private_~_ Other department <br />Account code _ <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK <br />IPTION: <br />( %, fixed) <br />APPROVED: ~ ~~ <br />Project Manager Date <br />Principal Engineer Date <br />Facilities Manager Date <br />City Engineer~~----? Date // G~ <br />FOR USE BY ADMINISTRATION ONLY <br />~-~ ~ ~ ~. <br />Capital Project No. ~ ACK ~ ~ r '" ~ ~ ~ .a ~-~"'1 <br />GL Title'` ~ ~t ~-~~ t{ ~.>~~/ ~ ~ `~ o~.~ ~4 ~-~ ~ ~ <br />Assigned by <br />Accounting by <br />Date `°< l "°'°~-~ - <br />Date <br />ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />Engineering Agreement ^ Engineering Service Work Request <br />Public Improvement Permit Application ^ Map <br />YELLOW /Administration File PINK En ineerin File GOLDENROD / Pro~ect Mana er /UL Y200y <br />9 9 1 9 <br />~* <br />r <br />