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PROJECT AUTHORIZATION FORM <br />~~ <br />Service ID: "~' ~L.,J <br />Project titie: ~~~ d <br />(/ocation and woik descriptionJ <br />~~ ~ <br />~~~- ~ <br />Engineering <br />Public Works <br />~City of Eugene <br />~ 244 E. Broadway <br />~ /~ Eugene, OR 97401 <br />~`~ (541) 682-5560 <br />JC _ JE~ <br />SID~ PB ~ GL~ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ ~w~dfh~ <br />Concrete walks: Setback / Curbside <br />(/enqth) (wid~hJ <br />Wastewater Stormwater Landscaping~~{~l~ca___ <br />~ <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUN NG SOURCES: <br />City 2- ~s ~ Assessments Private Other department <br />~ ~ ~ ~ '~ `~''' ~~ Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager- ~„ L <br />~ <br />Date ~ ~'' <br />Principal Engineer ~ <br />°° Date ~ ' ~- ~ <br /> <br />Facilities Mana Date <br /> <br />City Engineer~ _ ~ ~ ~ 1 ~- - <br />Date ~ ~ Z' ~ ~ <br />ATTACHMENTS: <br />;' ~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />'~. <br />^ SDC Budget Worksheet ^ Engineering Agreement 0 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 /U4Y2004 <br />