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PROJECT AUTHORIZATION FORM <br />Service ID:_ <br />Project title: <br />~~ ~ <br />~~ <br />,~ /- <br />SID= PB _ GL _ JC <br />Project manager / contact / private engineer: ~~~~ ~ <br />Engineering <br />Public Works <br />City of Eugene <br />~ 244 E. Broadway <br />Eugene, OR 97401 <br />~ °~ (541) 682-5560 <br />_ JE ~ . <br />~' ~" ~!~ <br />~ -~ ., ~ . <br />PROJECT SCOPE: ~ ~e <br />Paving: ~ Bike lanes / paths: <br />(w~drns~ /widrn~ <br />Concrete walks: etbac / urbside <br />~~ (/engthJ (wid/h) G~ <br />Wastewater ~ Stormwater _~ ~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private fl~ Other de artment <br />p <br />Account code - <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 Manager <br />City Engineer~ <br />Date ~ ~ ~ ~ <br />Date ~ ~ <br />Date <br />Date ~~/~flG 7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ / `r ~~~' ACK ~` ~~ ~~ ~ ~~° ~~`Y `~ ~~v <br />~ <br />GL Title ~ ._~~~.- ~l ~~~~ ,~ ~C./.~ tY ( ~ ~ ~ I ~~ <br />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 ngineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order Public Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting n,_ ~~ ~~ <br />s~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />