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i <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ' Public Works <br /> I <br /> City of Eugene <br /> ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> i (541) 682-5560 <br /> Service ID: SID PB GLJC JE~ <br /> Project title: ~r d ~~~G ~ G'.~`a'7 °'~rw. ~ <br /> (/ocalign and work descriptienJ <br /> i <br /> Project mana er /contact /private engineer: ~ <br /> I <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> ~ (wid7hsJ (wid/hJ <br /> Concrete walks: Setback /Curbside <br /> (/engthl (widlhf <br /> Wastewater Stormwater ~ 1~+1~.~T ,e°' Landscaping <br /> Signal Street lights ROW required <br /> i <br /> .New building construction Planning, other Remodel <br /> <br /> I <br /> i <br /> FUNDING SOURCES: <br /> <br /> ~ City Assessments Private Other department 1 <br /> Account code a~ ~~4 <br /> Fed /State /County /FAA fixed)~~~! ~ <br /> 3 <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t~"~ .yea'' ~ ~ s~ <br /> APPROVED: ~ <br /> Project Manager Date , _ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR //USE BY .ADMINISTRATION O/NLY ~'g <br /> Capital Project No. ~ (Et°3 ACK~~~ ~J l ~ °'1 ~t'sd. <br /> GL Title ~ Y~' <br /> ~ <br /> Assign d by Date ~ ~ ' <br /> Accounting 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 /> ? Request for Scoping Meeting <br /> i <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 ~ <br /> ~I <br /> 1 <br /> - 1 <br /> <br />