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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> 6 <br /> I <br /> (i City of Eugene <br /> I Eugen e OR 97 01 <br /> Service ID: ~ SID B GL JC ,JE ~i~- X541) 682-5560 <br /> Project title: ~:~b~el J ~S ~~l1'l<GL'/1 <br /> ` (/ocaticn and work desciiprionJ <br /> I <br /> I Project manager /contact /private engineer: <br /> ! PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrhsJ (widrhJ <br /> Concrete walks: Setback /Curbside <br /> (/engrhJ (widrhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: r L' P ~ ~C~.~`~~,5 <br /> City Assessments Private Other department _ <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMIjjN--ISTRATION ONLY ~,~7 <br /> Capital Project No. ACK 3~~ <br /> GL Title ~ ~~-rr"T~ ~ t,~~ ~~~~~~1/~ <br /> Assigned y . ~ Date ~ < <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> i. <br /> t,_. - <br /> <br /> ~ ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> <br /> f ? 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 /> <br /> j <br /> <br /> E <br /> <br />