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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ (541) 682-5560 <br /> SID <br /> PB <br /> - GL _ JC J <br /> E <br /> Pro'ec ~ ~ - ' <br /> t title: <br /> ~ ~ <br /> ~ , <br /> (location and walk desciiptionJ ~ ~ ® ~ ` <br /> Qsro'ect manage /contact /private engineer: ~ <br /> c ~ g ~ ~j <br /> PROJECT SCOPE: <br /> Paving: ~ L~ E ~ ~ ~ (wed/hsJ Bike lanes /paths: <br /> Concrete walks: (widrhJ <br /> (/engthJ Setback /Curbside <br /> (width) <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: JV <br /> .Project Manager Date ~ Z~ d~ ~ ~C6 <br /> Principal Engineer ~ rs <br /> Date ~ ~ _ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title s ~ f ~ <br /> Assign by , <br /> Date <br /> Account) <br /> Date <br /> A?TACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> C~ City Engineer's Initiating Order ? Public Improvement Permit Application 1~1 Map <br /> ? Request for Scoping Meeting <br /> <br /> EING 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />