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PROJECT AUTHORIZATION FORM <br />Service ID: <br />Project title: ~ <br />(/ocation and woik desc~iptionJ <br />~ <br />~ <br />~ <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~ n ~ ~ ~ ~ ~ Eugene, OR 97401 <br />/ (541)682-5560 <br />SID_ PB GL JC JE _ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: / 1 <br />Paving: Bike lanes / paths: ~ <br />~ (wid7hsJ ,~. (widlhJ <br />Concrete walks: c~ Setback / Curbside <br />//engthJ ~ i h~ <br />Wastewater Stormwater ~ Landscaping ~~~ <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other department <br />Accountcode <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager Date ~ ~~ b~ <br />Principal Engineer Date ~ <br /> <br />Facilities Mana r Date <br /> <br />City Engineer ~--- - Date ~ ! ~" " ~% ~_ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ `~ ~ ~ ~ ACK ~ [~-~~D ~~v~~ ~~ ~~ C~11° <br />GL Title ~ ~ ~ ° ~ ~ ~ ~ <br />Assigned <br />Accounting by <br />Date <br />ATTACHMENTS: <br />i. ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~. <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 ~~~~ ~~~ n~ <br />f~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />Date ~ ~ ~ <br />~s <br />i <br />~ <br />i <br />~ <br />~~;. <br />