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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> r Eugene, OR 97401 <br /> • ~ ~ (541) 682-5560 <br /> Service ID: ~ ~ ~ SID PB GL JC JE <br /> Project title: ~ ~ ~ ' e ~ a <br /> (location and work desciiptionJ <br /> Project manager /contact /private engineer: G1.~ ~ 1~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> i (widlhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (widfhJ <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 /> °~'~r a~_ ~ ~ ~ ~ ~,~-~,~r.~ ~ ~4 ~ pia;' b~ <br /> APPROVED: <br /> Project Manager Date / <br /> Principal Engineer Date ~ ~ ~ ~1 6 <br /> Facilities Manage Date <br /> City Engineer Date Q~ _ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. °6 ~ ACK ~ ~ ~ ~ ~ ' ~ ~ " ~~7 <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 ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ~ Map <br /> ? Request for Scoping Meeting <br /> <br /> I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD /Project Manager JULY2004 <br /> <br />