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PROJECT AUTHORIZATION FORM <br />Assessments <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />/ Eugene, OR 97401 <br />,// (541) 682-5560 <br />Service ID: y~~ ~ ~~~/ SID PB t~GL JC JE r <br />Project title: f ~ ~~ ®~V I ~ ~ Ql.;~ ~'r~~"°e, . ~°~' ~'~'`~Y~f1• 9~'~''~l ~~/`'Er ~E~ ~~~rG ~1~ '~ <br />(location and work desciiptionJ <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />I (/engthJ <br />Wastewater <br />Signal <br />(widlhJ <br />Stormwater <br />Street lights <br /><5~-~- <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City <br />Fed /State /County /FAA <br />~~11 Pei <br />Bike lanes /paths: <br />(widlhJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code <br />( %, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />1. C ~_ ~ ~~ <br />APPROVED: ~ ~~ <br />Project Manager Date <br />Principal Engineer Date .2 `~ <br /> <br />Facilities Manager r Date <br />City Engineer ~' Date "`~ ~- <br />Private <br />W <br />"'~) <br />^`~ <br />V <br />~,_ <br /> <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /ULY2004 <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 I~ Map <br />^ Request for Scoping Meeting <br />