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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />ty of Eugene <br />,~ ~ 44 E. Broadway <br />J, ` <br />V ~'~ Eugene, OR 97401 <br />• ~ ~ / ~ ,* (541) 682-5560 <br />Service ID: SID PB GL . JCS JE / p,\ <br />Project title _~~ ~~ ~ (~~~~~ x~~- ~6' ~~+ ~~i ~ ' 4 ~~~- [+~ ~1 ~'~ ~'~~'~ (°Q~f'~~ <br />(/ocafion and work desciiplionJ <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engfhJ <br />Wastewater <br />Signal <br />(width) <br />Stormwater <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City ~ Assessments Private <br />Bike lanes /paths: <br />(widlhJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code _ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manage <br />City Enginee <br />Date `+-° ~f e` ~` ~~~ <br />Date ~`22~~1a <br />Date <br />Date `~'~~~'~ ~~ <br />FOR USE BY ADMINISTRATION '`'"ONLY <br />Capital Project No. _ ~ ~ ~ ~ ACK ~~ ~ `~ ~°'~" ~~~'~'~'~~ <br />GL Title ~ ~.T 1 1 ~~" 6, ~`~ '-' ~'~~ <br />c` <br />Assign d b ~ _ ~ Date ~ ~~ ~~ <br />Accounting by ~ Date <br />:; _. <br />ATTACHMENTS: <br />x 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 f ~ Map <br />^ Request for Scoping Meeting <br />Lv <br />"',~ <br />s~ <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /ULY2004 <br />Fed /State /County /FAA (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />