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PROJECT AUTHORIZATION FORM <br />~~~! \ ~ ~ ` ~ ` Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~~ ~ ~ ~ JC ~ JE ~ (541 682-5560 <br />Service ID: SID PB GL `` <br />Project title: ~f~~~~a,~ ill ~~L~r/ ~ :~ .~ ~, ~`vl~ qn,"~`t<~ 1 c%t.,., <br />(location and work description) <br />Project manager /contact /private engineer: ~,~ %~° ~ ~ tC,t~~ ~~'~-- <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />Wastewater <br />Signal <br />1 <br />~~ <br />(widths) <br />(length) (widihJ <br />Stormwater <br />Street lights <br />New building construction Planning, other ~i/f.1~~1 ~~I~ tE3tu Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Bike lanes /paths: <br />(widlhJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Other department <br />Account code - <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROV <br />Project M <br />Principal <br />Facilities Manage <br />City Engineer <br />Date ~~ <br />Date <br />Date <br />Date ~ ~ ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ACK ~ ~ ~ ~~ ~ w ~~ -~ <br />GL Title ~ .~ ~ `~'C~; ~ ~~- `°~ ` ,ter, :, ~ ~ - <br />-'--~ ~. <br />Assigned by j ~ ~ Date ~ ~ . ~ ~~ <br />Accounting by Date <br />a <br />-~ <br />ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition .°'~, <br />^ SDC Budget Worksheet Engineering Agreement ^ Engineering Service Work Request ,,~~ t <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 /UL Y2004 <br />