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~C <br /> 1 ~ ~ ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works ~ <br /> i <br /> ~ City of Eugene ~ <br /> I 244 E. Broadway <br /> Eugene, OR 97401 <br /> i i , (541)682-5560 <br /> service ID: SID " PB r GL ~JC ~ JE ~ <br /> Project title: S <br /> (/oca!' n dr descrip ionJ Q' , , <br /> Project manager /contact /private engineer: ~ Q~~?'1'1 i'YiIJ <br /> ~ ~ I <br /> ~ PROJECT SCOPE: <br /> ~ ~ ~ ~ <br /> ~ Paving: ~ r~~ Bike lanes /paths: I <br /> i /width) I <br /> Concrete walks: Setback /Curbside <br /> i ~ (/engthf (will <br /> Wastewater l~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> f New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> ~ j City Assessments Private Other department ~ <br /> I <br /> Account code <br /> Fed /State /County /FAA fixed) ~ <br /> OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> " <br /> t ~ <br /> I <br /> i <br /> o-.# ~ <br /> 3 : <br /> i <br /> I pPF~ROV~O: <br /> ~ Project Manager Date Z`'~ <br /> F~rincipal Engineer Date j / <br /> Facilities Manager Date <br /> ~ City Engineer Date S ~ <br /> i <br /> I <br /> ~ i FOR USE BY ADMINISTRATION ONLY ~ <br /> 7U~/~~ <br /> I Capital Project No. ~ ACK 9'~S~ C~1~X~X '1J / Y <br /> ! - ~ ~ <br /> <br /> ~ ~ ~ GL Title ~ S-~ ~ <br /> S ~ <br /> Assigned y Date <br /> <br /> ~ ~ j <br /> I <br /> i Accounting by Date <br /> I <br /> ~?TTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ,~~~ineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order W~Public Improvement Permit Application ? Map <br /> ~ ? Request for Scoping Meeting <br /> I ~ i <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 ~ <br /> I <br /> I <br /> <br />