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PROJECT AUTHORIZATION FORM <br />Service ID: ~ <br />Project title: ~ <br />Engineering <br />Public Works <br />~ <br />~ <br />,SID " PB '" GL~C JE ~' <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 _ <br />Project manager / contact / private engineer: ' ~~ ~' ~, ~~~G~ ' ~d°~i~~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widrr,s) ~w~drh~ <br />Concrete walks: Setback / Curbside <br />(/englh) (widlhJ <br />Wastewater Stormwater ~~f~~~ ~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~ Assessments Private <br />Other department <br />Account code ~~ ~ ~~ ~~ ~ ~ ~~G~ <br />Fed / State / County / FAA ( %, fixed) ~~~~" ~~ <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: ~, <br />Project Manager 1 -~~ Date ~ `,_ ~~ ~~~ <br />Principal Engineer Date <br />Facilities Manager Date <br />City Engineer Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project Na ~ '~ ~ ~ ~ "" ACK ~~~ ~ ~~ ~ ~ ~~~ ~-~~o, <br />GL Title E _~ ~ ~~.(Y~G' ~ ~~-a`~ ~~ ~ ~ ~~~ <br />Assigned/by Date ~ ~)~~~ <br />\, <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 />~ <br />~v <br /><~~ <br />i <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />