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" PROJECT AUTHORIZATION FORM <br />~~ ~ <br />~~ <br />Engineering <br />Public Works <br />Service ID: ~~Z'3 <br />Project title: ~ G ~~ ~~ i <br />(/ocafion and woik desciiptionJ <br />City of Eugene <br />~~ 244 E. Broadway <br />Eugene, OR 97401 <br />~ /' ~ ~ (541)682-5560 <br />SID_ PB 4~ GL _ JC ~ JE ~ <br />ject mana er contact / private engineer: ~a ~ <br />PROJECT SCOPE: - <br />Paving: ~1 ~(~~ i~ e S ~/ Bike lanes / paths: - <br /> (wrd~hsJ (widlhJ <br />Concrete walks: ~ ~` Setback / Curbside '- <br />(/engthl (widlhJ <br />Wastewater ~ Stormwater ~ Landscaping <br />Signal "-' Street lights - ROW required "- <br />New building construction ' Planning, other "~ Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL P~C <br />s~~~ ~ <br />L L~l i S 1 s Qln 1 N~ ~ <br />INFO. / NTERDEPARTMENTAL WORK DESCR <br />~d~lQ~-~ ~'2o(IO_C~ J..r,, r,M.: ~_ ~ .~... <br />Other department <br />Accountcode <br />( %, fixed) <br />TION: /~ <br />`t~l~Or~ 6L~ ~'~D ~' <br />APPROVED: <br />Project Manager Date Z~ <br />Principal Engineer Date~-;,~~ ~ Q_~ __ <br />Facilities Manager Date <br />City Engineer Date__--7~?/,6~ <br />ATTACHMENTS: <br />~-Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ r ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application d~ Map <br />^ Request for Scoping Meeting <br />0 <br />co <br />~ <br />0 <br />~ <br />~ <br />-a <br />0 <br />vi <br />~ <br />~ <br />~ <br />< <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />