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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />' 244 E. Broadway <br />` <br />- Eugene, OR 97401 <br />/ (541)682-5560 <br />Service ID: ~~ ~~ ~ SID ~ PB ~ GL ~! JC _ JE _ <br />Project title: ~~~ /~~~ `,~'~~'%~il~~i~ ~~~~~~ ~ ,~~~s~ <br />(/ocation and work desciipfionJ <br />Project manager / ~ontasi/ p'riv~e-s~gineer: ~~~~ ,~dr~/~i~~'/I <br />PROJECT SCOPE: <br />i <br />Paving: ..> ~'~ Bike lanes / paths: ~~ <br />~ /widrhs~ ~ ~widrn~ <br />Concrete walks: _~L.-'~ ~~~ Setback ~isi~e- <br />pengthJ (widlhJ <br />Wastewater ii~r~~>GZ.S Stormwater --- Landscaping <br />Signal <br />Street lights <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURC~~: ,. ~ <br />~~ <br />City ~f9 Assessments i_T_ Private Other department <br />Account code <br />~ed~-/-~t~e+~at -~AA ~ > <br />~Y-~ -~ / ~~ ( %, fixed) <br />COMMENTS / SPECIAL PROJEC'T INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />, <br />/l~Gl~ ~i~tJ~'~~° d'~~a~'~~r',t~~~ ~'~/'~"-a~"~ ;~'~ t-t~~ ~e~! ~ ..~~~~~~'~:1-~-~ <br />~~ <br />~ <br />APPROVED: ~/ ° - ~ <br />Project Manager- !' - %'` •' _ Date %~~-~'°' ~d"~~~ <br />Principal Engineer ,:~ Date~~~~ <br />Facilities Manage Date <br />City Engineer Date ~ ~'' ~ '~Q~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 5~~ ~- ACK ~~~~ a~~~~X7CX ~' -1 ~,J`~'~~~y_ <br />GL Title ~~~~ ri ~ 1~ ~ ~~ f' ~c5. ~'~~k. <br />Assigned by ~~~~~„~`!~~'~.,~ Date <br />Accounting by `~ Date <br />AT CHMENTS: <br />~ ,.-/~Budget Estimate <br />~- L•;~ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />~~%'~t~~"r L=~ ~~ <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 C~'!(ap <br />YELLOW / Administration File PINK / Engineerin~ File GOLDENROD / Project Manager /ULY2004 <br />