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,E <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: SID PB GL JC JE . <br /> Project title: <br /> (/ocati n nd work desciipti nJ <br /> Project manager /contact /private engineer: / <br /> PROJECT SCOPE: <br /> Paving: ~ ~ p Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: ~ '°`®m`~ Setback /Curbside <br /> (/engihJ (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 /> i <br /> APPROVED: <br /> L~ ~ b <br /> Project Manager Date r <br /> Principal Engin a"'~^'''~'c Pit Date ~ ~ C° <br /> Facilities Manager Date <br /> City Engineer Date 2 ~ ~l <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public 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 />