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~~ Engineering <br />PROJECT AUTHORIZATION FORM Public Works <br />City of Eugene <br />~ 244 E. Broadway <br />~ ~ ~, Eugene, OR 97401 <br />(541)682-5560 <br />Service ID: ~~ SID ~PB ~GL~ JC _ JE~ <br />Projecttitle:~-s~~`~~ (,,..v1~ C'Utita,,n~. ~ 1''i-''~°' /V~~j~l l'~D1~'C~ i~-~~ l <br />(/ocation and wark desc~iption <br />~~~,_~ c P t~ ~-o~~ <br />Project manager / contact / private engineer: T~.,'Q,~S ~~~4~ .~ ~~ ~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engthJ <br />Wastewater <br />Signal <br />Stormwater <br />Street lights <br />(widlhJ <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City Assessments Private <br />Bike lanes / paths: <br />(widrh) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Accountcode <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~C `~~ I ~ v~vJ '~.~.,1~~ ~ ~T7C~ <br />APPROVED: ~ <br />Project Manager <br />Principal Engineer <br />Facilities Manager <br />City Engineer ~ <br />Date `~ r`S0 ~ T <br />Date ~ ` ~ <br />Date <br />Date ~'~~ <br />FOR USE BY ADMINISTRATION ONLY <br />r d <br />Capital Project No. ~ ACK ~ ~ ~ ~ ` ~- <br />GL Title ~~ ~ ~ ~ <br />~ ~ ~ <br />Accinn .rl hv ~ ~Q ~~- ~~~~`yK_____~-----_~- Date <br />I Accou in Date I <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 /ULY2004 <br />