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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: SID PB GL JC _ JE <br /> Project title: ~ ~1! ~j <br /> (/ocationan warLk~de aptionJ <br /> Project manager /contact /private engineer: ~~d ®j/l~t ~.g4~ ~'/"/,~.5 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> ® (/engihJ (wid/hJ <br /> Wastewater ~ / Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <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 /> ~-c----~ <br /> Project Mana a ~ <br /> 1 9e Date <br /> C' <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3-. <br /> FOR USE BY ADMINISTRATION ONLY <br /> j ~ k~ <br /> Capital Project No. t~ 1~ ACK <br /> GL Title <br /> AsJ 'gned by ~ ~ Date ~ _ <br /> A~countin y j Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~p E,~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order E~UbI1C Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD/ Project Manager ?ULY2004 <br /> <br />