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~ PI~OJECT AUTHORIZATION FORM ~ ~ Engineering <br />~ ~ s_,_._ 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 />Project title: ~~¢-~'-~~~ s e.... ~c~ +- rc v~ (,~ ~ 1~~^ -~-o (,.' ~~~'~' <br />(/ocation and wo~k desciiptionJ <br />Project manager / contact / private engineer: ~ U~~~ ~; p~ Q~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widrhsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthl (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City X Assessments Private <br />Other department <br />Account code - <br />c~ <br />APPROVED: <br />Project Manager- <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date ~~/~~~~~ <br />Date ~-~Z~'°~`~ <br />Date <br />Date ~~~~~7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _I ~ ~ (~~'~ ACK l ~~ ~" ~~~~ " ~ XX,~~G °-~'?~ 5 (~~ ~ <br />GL Title ~"~~ 9~= ~i~n -f,~~ ~ l~ <br />Assigned by <br />Accounting by <br />Date _ ~ <br />Date <br />ATTACHMENTS: <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 />~ <br />c~ <br />~ <br />~ <br />0 <br />~. <br />~~ <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTI~N: <br />