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~ <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID:_ <br />Project title: <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />t~ (541)682-5560 <br />~~ ~ ~ nSID ~PB = GL ~JC _ JE _ <br />~ ~ ~iY ~~ V"o~~~e-,~-'«.n ~ ~? ~c- (~ i ~ I ~"c.: i~ t ~`X i w ~. <br />(/o ati ~ an work d~escriplio~0 ~ /~ ~ ~ /~ ~ y ~ i ~ <br />- - '~^ l--\ /°~ ~o d i ~ ~ ~ ~1 <br />Project manager / contact / private engineer: <br />~_ ~._ <br />PROJECT SCOP ~~ _ <br />Paving: / ~ Bike lanes / paths: <br /> (widlhsJ (widlhJ <br />Concrete waiks: Setback / Curbside <br />(/englhJ (wid7hJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />UN ING SOURCES: <br />~~ ~3~ ity ~ ~C~ Assessments <br />Private <br />Other department <br />Account code - <br />APPROVED: ~--> ' <br />Project Manager ~"- Date ~ ~ ~~ - <br />Pr'nc,~i ~al Engineer Date ~ ` ~~ <br />~~i'li~~anager . , p ~ ~,,~_~~ Date-~ J~ • ~-~'~ <br />City Enginee Date Q <br />Capital Project No <br />GL Title <br />Assignec <br />Accounting by _ <br />Date <br />AJTACHMENTS: <br />i ~udget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <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 />BY ADMINISTRATION ONLY <br />ACK~`2 ~c~~~ C.Q ' ~ ~"~c.sl C ~ <br />FOR USE <br />B G ~ ~ & C~.. <br />0 <br />v7 <br />N <br />0 <br />~ <br />a <br />0 <br />Li <br />ti <br />~~ <br />~ <br />ENG 415 <br />/ 4 <br />~ WHITE / Finance YELLOW / Administration File <br />' °~' -- TI i ~ ~~i~J / PINK / Engineering File <br />~ ~ ' 9 ° ~ GOLDENROD / Project Manager /UL Y2004 <br />a~/ - / <br />Ci~ <br />^ <br />C~ I lJ <br />__ <br />_ <br />_ _. <br />_ <br /> <br /> <br />_ <br /> <br /> <br />_ _ <br />. .. <br /> <br /> <br /> <br />_ ___ _ _ <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />