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4 <br /> T <br /> ~~PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / ,1~c (541) 682-5560 <br /> (Service ID: SID PB GL t/ JC d/ JE ~C_ <br /> ' I <br /> ~ Project title: <br /> (location and work descnplionJ d „ / /j <br /> (.~W <br /> i <br /> Project manager / co act /private engineer: <br /> i <br /> PROJECT SCOPE: , ` <br /> Paving. !/a-rl P,.d.' Bike lanes /paths. <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> I (/englhJ (width) <br /> Wastewater ~ Stormwater Landscaping <br /> i Signal Street lights ROW required <br /> I <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SOURCES: <br /> i <br /> City Assessments Private Other department <br /> Account code <br /> Fed / State T County /FAA fixed) <br /> OMMENTS / SRECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~P4':' <br /> . _ r <br /> 7 <br /> Lf' <br /> a- ~ 7 . . <br /> ,1~ <br /> ifs+' ~ <br /> fi APPROVE~~' _ _ <br /> Project Manager Date + Z`~ <br /> Principal Engineer Date ~ <br /> ~~i~ d ~ <br /> Facilities Manager Date <br /> City Engineer ~ Date ~ <br /> I <br /> I <br /> I FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3~`"~L'u ` ACK ~~xx 3h~/yFf'~ <br /> GL Title ! j ~~r'j ~ L T/ j'' S i'1 <br /> _ r~ <br /> Assigned b Date ~/S ~U f ~ <br /> i <br /> ~ Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet C~rlgineering Agreement ? Engineering Service Work Request <br /> 'i ~ City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ / <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br /> i I <br /> <br />