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_ ,~---~ <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: <br />Project title: <br />roject manager~ coniact i private engineer: ~~e..~ s [`71 ~~ <br />PROJECT SCOPE: <br />~ <br />~ <br />Paving: `~~~~ ~vv~,N' 7 Bike lanes / paths: <br /> (wid/hsJ (widlhJ <br />Concrete walks: ^ - Setback / Curbside - <br />(/engthJ (widlhJ <br />Wastewater ~'" Stormwater ' Landscaping - <br />Signal -' Street lights r ROW required "'~ <br />New building construction ' Planning, other - Remodel " <br />FUNDING SOURCES: <br />City °1 Assessments Private Other department <br />~ ~ Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ <br />( %, fixed) <br />. . ~ ,1 . a ` " _ 1 g i 2 ~-- ~l ~t~i~~-t ~ <br />APPROVED: ~. <br />Project Manag ~'"~-~ Date ~ Z ~ <br />Principal Engin r Date ~"~ ~ <br />Facilities Manager Date <br />City Engineer ~ , 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 CC7~Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />City of Eugene <br />244 E. Broadway <br />~ Eugene, OR 97401 <br />~~ -~ SID ~ F'B "` GL ~C ~E ~541) 682-5560 <br />