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~ <br />~~ <br />PROJECT AUTHORIZATION FORM <br />~ ~ ~ <br />.~-- Engineering <br /> (, ~ Public Works <br /> City of Eugene <br />244 E. Broadway <br />~~ <br />~ ~ ~ <br />/ <br />~ <br />~ / ~ /~ <br />~~,,~ ~~ ~ Eugene, OR 97401 <br />(541) 682-5560 <br />Service ID: ~ ~ SID <br />° <br />PB GL JC _ JE <br />Project title: ~ i ~ C~ ~ <br />(/ocation and woik de c~iptionJ <br />Project manager / contact / private engineer: ~~ <br />~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />~ ~enqthJ <br />Wastewater ~ Stormwater <br />Signal <br />New building construction <br />Bike lanes / paths: <br />(w~drh~ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />(widlhJ <br />Street lights <br />Planning, other_ <br />Private <br />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_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~i <br />Date ~ <br />Date ~ <br />Date <br />Date l 3 ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~~~ ACKLL/~( ~JS ~ CJ'~'~'~ x~~ `~J c~~ <br />GL Title .^ 1, J""" "~ 1~1'~~-~ __ l ~~~~U~ ) <br />by <br />Accounting by <br />Date ~~~2~~V ( <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 / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />