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,_~ <br />PROJECT AUTHORIZATION FORM <br />~ ~~ <br />1~~- ~ <br />Engineering <br />Public Works <br />Service ID:~- <br />Project title: <br />Project manager / contac~ % private engineer: <br />PROJECT SCOPE: ~ <br />Paving: ~z~ Bike lanes / paths: <br />~widres) (widlhJ <br />Concrete walks: etbac / Curbside <br />~~ (/engthJ (widlhJ ~~ <br />Wastewater Stormwater _~ ~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />~~' <br />SID_ PB _ GL ~C ~ E ~ ~ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />FUNDING SOURCES: <br />City Assessments <br />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 Date ~~Zt~t>'~ <br />Principal Engineer Date ~ $ ~~'t ~~°' <br />Facilities Manager Date <br />City Engineer ~~ ~ ~i ~~ ~ ~-- Date (4 ~ ~ a~ <br />~ ATTACHMENTS: ~ ~~~ <br />~., ^ Budget Estimate ^ D veloper Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet C&~~gineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ~ Public Improvement Permit Application ^ Map <br />O Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Adminisiration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />0 <br />rn <br />i <br />~v <br />a~ <br />-~ <br />c~ <br />w <br />;~: <br />