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_ : ~ <br />~ PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br /> City of Eugene <br /> 244 E. Broadway <br />~ ~ ~ ~ ~ <br />-~ <br />~~ ~ Eugene, OR 97401 <br />(541)682-5560 <br />Service ID: <br />SID_ PB _ GL <br />Project title: ~~-tiL~-~iK~ ~l~Q~ YV'At' I~Vvi'C~~ JC _ JE <br />(/ocation and work desciiptionJ <br />Project manager / contact / private engineer: ~ ~ <br /> PROJECT SCOPE: <br /> Paving: <br />(widlhsJ <br />Concrete walks: <br />~~'engthJ (widlhJ <br />Wastewater ~ Stormwater Bike lanes / paths: <br /> <br />Setback / Curbside <br /> <br />Landscaping <br />(widlhJ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private ~~~ Other department <br /> Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( <br /> <br /> <br /> <br />APPROVED: `' _!~~ 1I ~ ~_ <br />Project Manager ~ ~~ -~.~ Date <br />, <br />Principal Engineer Date `~' <br />Facilities Manager Date <br />City Engineer ~'1,~-- Date i ~~ ~~'~3~ <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 />C~l Engineering Agreement ^ Engineering Service Work Request <br />C~l Public Improvement Permit Application ^ Map <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />~r <br />c._: <br />i <br />~ <br />; "; <br />