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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: ~TZ Z <br />Project title: P~ ~ <br />(/ocation and work o <br />~ <br />~~ <br />ro'ect manager contact / private engineer: <br />PROJECT SCOPE: <br />Paving: ~/ ~~~ ~ S Bike lanes / paths: <br />(widlhsJ (widlhJ <br />Concrete walks: ' Setback / Curbside <br />(/engthJ (widlhJ ~ <br />Wastewater ~-' Stormwater - Landscaping <br />Signai "- Street lights ~ ROW required ^ <br />New building construction Planning, other ~ Remodel '- <br />FUNDING SOURCES: <br />City Fv~d 133 Assessments - Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PRQ <br />Other department '- <br />Account code '-' <br />wnRK nFCr_R~ar~nti• <br />APPROVED: <br />Project Manager Date- Z 6 <br />Principal Engineer Date -?" 2(- ~~ <br />Facilities Manager Date <br />City Engineer „~; ., Date 7~3~ 6G <br />Accounting by <br />Date <br />ATTACHMENTS: <br />~.Budget 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 />City of Eugene <br />,,r ~244 E. Broadway <br />~°J.l~ Eugene, OR 97401 <br />_ SID W PB '! GL ~JC ~ JE ~ ~541) 682-5560 <br />~' -I~o ZZ "d <br />0 <br />~ <br />i <br />~ <br />i <br />0 <br />at <br />-c~ <br />0 <br />~n <br />~ <br />:~ <br />~ <br />C <br />O <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JULY2004 <br />( %, fixed) <br />