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~ ~ l.~- <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ ~'s9 SID ~ PB ~GL JC JE <br /> Project title: ~ ~ e ~ <br /> (/ocaficn and work desciiplionJ <br /> I Project manager /contact /private engineer: ~ ~ 1~ 1 I <br /> PROJECT S~C,O/PE~ : <br /> Paving: -1:~ Yf{`1~°i• ~ J Bike lanes /paths: widrh <br /> widths ~ J <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widfhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~?~~F2.e~T ]>ESJb~ GJ~K <br /> C~y~_~. ~r Assessments Private Other department <br /> ~q~ .t Account code <br /> Fed /State /Count /FAA ~ O~ T~ G~MJT <br /> Y fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> G <br /> i <br /> APPROVED: <br /> j Project Manager Date ~ j ~ 6 <br /> ~Pr~Engineer Date ` <br /> i <br /> C Manager .Date G~ <br /> City Engineer Date l~la' <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ Capital Project No. ~~1 ~ ~ / ~3 ~ f` b'~~?ACK ~ ~ ~ <br /> GL Title <br /> Assign by Date ' F <br /> Accounting y Date <br /> <br /> i <br /> ~ACHMENTS: <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 ?ULY2004 <br /> <br />