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~ <br />J -~~ <br />= PROJECT AUTHORIZATION FORM ~-~-~--~ __~ Engineering <br />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: ~ ~ ~ ~ C:~~ .~l~- ~-!~~~ ~~~ ~ ~~ ~ `~~r.~3 <br />(/ocation and wo~k desc~ipfionJ <br />/ ~~ 0 <br />Project manager / contact / private engineer: ~~r~~~~~~ ~~C~,~~~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: _ <br />Wastewater ~ <br />Signal <br />New building construction <br />Street lights <br />Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private I/ Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WO~iK DESCRIPTION: <br />( °/a, fixed) <br />APPROVED: ~~ <br />Project Manager ' !~- ~ '~` Date ~ ~ ~=~~ ~~ <br />Principal Engine . Date ~ ~ <br />Facilities Manag . Date <br />City Engineer Date u' ~'D ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ o ~ ~ `~"`E' ACK ~~( "[ ~~~ ~.[~' ~`X'~ ~~~~2~j <br />. <br />GL Title ~ ~- ~~ ~ ~ ~ ~°~ ~ ~~ ~ ~ ~ ~~~ <br />Assign by Date ~ ~ ~ ~ <br />Accounting y Date <br />ATTACHMENTS: <br />_ <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 />Bike lanes / paths: <br />~W~d~h~ <br />Setback / Curbside <br />~ ~' (/ength) (wloYhJ aA <br />Stormwater ~~ Landscaping <br />