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I <br />_. <br />vc :... rg'~' a k ~ .:: ,p' <br />PROJECT AUTHORIZATION FORM I=_ngir,eering <br />Public Works <br />City of Eugene <br />44 E. Broadway <br />j ,~' ' i ~ Eugene, OR 97401 <br />i ~"! ~ ~` (541) 682-5560 <br />Service ID: ~°1 SID PB GL JC JE <br />~ Project title: <br />i <br />(/ocaiion and work desciiplienJ <br />Project manager /contact /private engineer: .. '(" ~ ~1 <br />}, <br /> , <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (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 Other department <br /> Account code <br />Fed /State /County /FAA <br />COMMENTS /..SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: '# ~~, <br />Project Manager ~ ! i ~ Date <br />Principal Engineer -- Date ~..~~~-"~~ <br />Facilities Manager ~, ~` Date r <br />City Engineer,,~'~ ! ~-:--~- - _ Date~~`~ ~' _ _. <br /> <br /> <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 ^ Ptablic Improvement Permit Application Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /UL Y2004 <br />