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PROJECT AUTHORIZATION FORM <br />t <br />City of Eugene <br />x'`244 E. Broadway <br />~ '~ ~ Eugene, OR 97401 <br />---~ ~ '~ ~ ~ / 1// ~,d (541) 682-5560 <br />Service ID: SID PB % GL~ JC JE <br />Project title: ~ f~ ~~~,.~~,'~_~~ `~~~~! \,/~ ~~! ~~~`~ ~~ ~ ~`,, <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater <br />Sianal <br />New building construction <br />FUNDING SOURCES: <br />City Assessments <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJE~T INFO. / <br /> <br />Stormwater - <br />Street lights _ <br />Planning, other <br />~~~~ ~°°"'® Engineering <br />Public Works <br />(width) <br />Private <br />:RDEPARTMENTAL WORKI <br />~~~.~sri <br />c~ ~' <br />.,.. ~.. ~_ ~ __ ..L ~. . _ _ o + <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code <br />( %, fixed) <br />~~_ ~. .1~ <br />f <br />APPROVED:g ~~- `~~ <br />Project Mana er Date / <br />Principal Engineer Date x"22-1,3-x, <br />Facilities Manager Date -- <br />City Enginee ~- ~ i Date ~~~' <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. - 1'`1,~ ~ ~A ACK 1 ~~ `~ `°'U' ~ ~~"~° <br />5 <br />GL Title ~~~ ~~~~ t~F 1'~~~`'~'~ ~r~~ ~~ <br />Accou <br />C <br />Date ~~~~ <br />Date i _~ <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 /Project Manager /UL Y2004 <br />