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.~ ~ <br />~ ~, ~'"L .r~--- <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />,: " , City of Eugene <br />244 E. Broadway <br />,~.._ <br />~ Eugene, OR 97401 <br />Service D: ~~ ~ ~ SID ~ PB ~GL ~ _ ~ "/ (541) 682-5560 <br />~ v <br />Project tle: ~ ~~~a~ 4~ ~ <br />(/ocation an work desciiplionJ <br />Project manager / contact / private engineer: ~~ ~'~ ~ ~ <br />PROJECT SCOPE: <br />Paving: _.~_ <br />Concrete walks: ~ <br />Wastewater <br />Signal <br />New building constructio <br />(/engthJ (widlhJ <br />Stormwater ~ <br />Street lights ~ <br />Planning, other ~ <br />Bike lanes / paths: <br />~W~drh~ <br />Setback / Curbside <br />Landscaping ~ <br />ROW required <br />Remodel <br />FUNDING SOURCES: ~I~tB~t~ `~~C. 6~ ~l?~~ ~` ~' ~~ I ~"~~ ~. °~'~~ ~?~ ~ I~,~~-°' <br />e <br />City ~.~ Assessments Private Other department <br />~ Accountcode <br />Fed tate~ ounty / FAA ~_~~~1 f~ •~• (%, fixed) <br />COMMENTS / SPECIAL PROJECT <br />m 4i \ <br />~ <br />~ <br />/ INTERDEPARTMENT~-~°" <br />~ ( ~ <br />~s <br />` <br />APPROVED: <br />Project Manager Date ~ - <br />~ <br />Principal Engineer <br />Facilities Manager - Date <br />Date ~ <br />City Engineer Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~~ !~~ ACK ~U ~ ~~~~ ~~-~ ~~ ~~ ~~ <br />GLTitle ~~ ~~~ ~~~Q~ _~ ~~ ~1~''~' ~ <br />Assigned <br />Accounting by <br />Date ~ ~_ <br />Date <br />ATTACHMENTS: <br />~J ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~. <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 />K D~SCRIPTION: ~ <br />I < ~ '~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />