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PROJECT AUTHORIZATION FORM <br />~(~~atl Engineering <br />+i ' Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~~- ~ (541) 682-5560 <br />Service ID: ~~1,~~. SID ' PB GL ~C ~ JE <br />Project title: t~-~°~=~1~~j ~~~~ L~~ i 2~P+~(C~ ~IC~I ~~ ~ <br />(location and walk desciiprionJ <br />Project manager /contact /private engineer: ~~ ~ L~A-- <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater / <br />Signal '/ <br />Stormwater <br />Street lights <br />(width) <br />New building construction Planning, other <br />Bike lanes /paths: <br />(widrn~ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private ~ Other department <br />Account code <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: '- <br />Project Manager Date ? Q~ - <br />Principal Engineer Date <br />Facilities Manage Date -- <br />City Engineer Date t! ~'~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ° 3 ACK ~~ ~ ~~ ~ T ~ ~~ ~ '° <br />GL Title y~~-~ ~ ~. _~- ~j~~= ,~~, ~~°' W <br />`i ~ ~ <br />~. ~ ~ <br />Assigned by Date <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 Application ^ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 <br />4 <br /> <br />