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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. E3roadway <br /> I ' C~ l h,~ ~ / ~ / n ~'P (541) 6820- <br /> 560401 <br /> Service ID. J r„~ SID ~e GL JC_/ JE v~ <br /> Project title: i°~•~~~N~t'~4sd-I T <br /> (location and work description) s~ <br /> Project manager !contact /private engineer: ~ <br /> PROJECT SCOPE: <br /> Paving: _ Bike lanes /paths: <br /> (wioYhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: LLyyyy <br /> City ~ ~Pf~sessments Private Other department <br /> <br /> V ~k~ Account code 1 L - 9 3~ <br /> Fed /State !County /FAA ~~rL j _ fixed) <br /> COMMENTS SPECIAL ROJECT O. / INTERDEPARTMENTAL W R DESCRIPTION• 11 <br /> ..~7 ~ W <br /> W £ w c~ I ~ b <br /> ~ ~ <br /> APPROVED: <br /> Project Manager _ _ Date ~ V <br /> Rrincipal Engineer Date <br /> Facilities Manager ~ ~y Date ~ ' 9 ~ ~ $ <br /> City Engineer Date _ <br /> FOR USE BY ADMINISTRATION'`ONLY <br /> Capital Project No. ~9~~ ACK 2 CQ~w~x' 9 ~Qx <br /> GL Title - ~ Wes! ~~G%~~X <br /> ~ ~ ~g <br /> Assig d by Date <br /> Account) y 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 /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering Fite GOLDENROD /Project Manager ?UL Y2004 <br /> <br />