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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 />Service ID: c~ Z ~ ~ ~ ~ ~ ~J~~ (541) 682-5560 <br />SID_ PB ._ GL _ JC JE _ <br />Project title: _ Y-~i~~~~ ~ ~ k~rj ( ,(~ ~ <br />(/ocation and woik descriptionJ <br />Project manager / contact / private engineer: ~Tt`h-fl~ SI 1~-,1~(~~~,,~ <br />PROJECT SCOPE: <br />Paving: v~~ M~11~~ ~~ ~~~ Bike lanes / paths: <br />(wrd~hsJ (widfhJ <br />Concrete walks: Setback / Curbside <br />/n ~~ (/engthl (widhJ L ~ <br />Wastewater Stormwater _ Landscaping <br />Signal <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Man er <br />City Engineer ~ <br />, <br />Street lights <br />Private_~_ Other department <br />Accountcode _ <br />Date ZZ ~~ ._ <br />Date 22 d <br />Date <br />Date _ ~'~7~ =~°7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. .~~/ '~52-j ACK ~~`~ g~l ' ~t-SOj4~~ ~° ~~7'J`~~~ <br />GL Title ~~,~r~ ~ <br />Assigned b~ <br />Accounting by <br />Date ~ ~ _ <br />Date <br />ATTACHMENTS: <br />f~ ^ 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 JUL Y2004 <br />