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i <br />PROJECT AUTHORIZATION FORM Engineers"g <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />Service ID: SID PB GL JC JE <br />,~ ~ <br />Projeettitle: 1 ~ ~ .~ „~ ~ ~ ~~~~ <br />(location and work description) <br />0 ,;.' r ~ 6 0..~ e <br />Project manager /contact /private engineer: <br /> PROJECT SCOPE: -~ <br /> Paving: Bike lanes /paths: _ <br /> (w/drhsJ <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: <br />City .;..Assessments Private Other department <br /> Account code - <br />Fed /State:/:County./FAA <br /> <br />COMMENTS/SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineerr:~~%; <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK ~ ~ ~ j . ~ <br />~` <br />GL Title ~ ~ t ~ ,..~(~„~ ` ~ ~ , <br />by <br />Date <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 />ENG 415 WHITE /Finance YELLOW /Administration File .PINK /Engineering File GOLDENROD / Projecf Manager /ULY2004 <br />(width) <br /> <br />