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c,.~°' - <br /> { PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> J City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> Service ID: ! ~ ~ p~ ~ ~Y x(541) 6&2-5560 <br /> SID PB GL _ JC JE ~ ~ ~ O~ <br /> j~' Project title: ' ~ ~ <br /> (location and work descnotionJ <br /> .I <br /> Project manager /contact /private engineer: ~ ~ ~ <br /> PROJECT SCOPE: <br /> Paving: R~kA lanes /paths: <br /> (widlhJ <br /> Concrete walks: I Curbside <br /> (/englhJ <br /> Wastewater ping <br /> Signal wired <br /> 4~ r <br /> New building construction ~ V~ L ~ <br /> I ~ t I <br /> FUNDING SOURCES: ~ j f~ w., <br /> City Assessment ~ C~-~V + department <br /> ht code <br /> Fed /State /County /FAA <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INF( ~ ,r <br /> i <br /> i <br /> is <br /> i <br /> 1 <br /> APPROVED: <br /> j Project Manager Date <br /> ~ Principal Engineer Date <br /> Facilities Manager Date <br /> I City Engineer Date <br /> r <br /> I <br /> l FOR USE BY ADMINISTRATION ONLY ~ <br /> j Capital Project No. ~ - ACK : , ..f . <br /> f ~,.r <br /> j <br /> Assigned by' ~ ~ <br /> _ Date <br /> i Accounting by Date <br /> i ATTACHMENTS: <br /> ~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> f ? SDC Budget Worksheet ? Engineering Agreement ? Engineerin Service Work Re uest <br /> 9 q <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 /> 1 <br /> i <br /> <br />