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{ ,. <br />GPROJECT AUTHORIZATION FORM Ertgineeri"g <br />Public Works <br />Service ID: ~~ <br />Project title: .~° ~ '~ <br />(location and work description) <br />,"~ 1 <br />idrhs/ <br />(widlhJ <br />Stormwater <br />Street lights <br />Planning, other <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engthf <br />Wastewater <br />Sianal <br />', New building construction <br />FUNDING SOURCES: <br />City Assessments _ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer-~"' <br /> City of Eugene <br /> ,,, 244 E. Broadway <br />' ~ Eugene, OR 97401 <br />(541) 682-5560 <br />~ <br />SID PB GL 4 <br />JC JE'~ <br /> <br />Bike lanes /paths: <br />(widlhJ <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Private <br />Other department <br />Account code <br />Date <br />Date E ` 2.2 "" ~~ <br />Date <br />Date ~ °~~ <br />FOR USE''BY ADMINISTRATION ONLY <br />"~ / , <br />Capital Project No. ACK '`~ <br />GL Title <br />°,„~`~" <br />.. <br /> <br />1 <br />i Assigned ~ <br /> <br />Accountin b ~ ~ p ` ! ° ''~ ~_ <br />~ <br />~'~ ° ~ _ Date <br /> <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 />'i ^ Request for Scoping Meeting- <br />I <br />ENG 415 WHITE /Finance <br />i YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /UL Y2004 <br /> <br />