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i <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: ~ ~ ~ 1~~~Z. i~ ~ <br /> (location and work desciiplionJ <br /> Project manager contact /private engineer: rn- I` i L~ <br /> PROJECT SCOPE: <br /> Paving: y~~ ~ Bike lanes /paths: ~ <br /> (widths) (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (widlhl <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOU CES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS SPECIAL PROJECT INFO. / INT~RDEPARTM NTAL WORK DESCRIPTION: n <br /> a <br /> ° ~s . ~"r C2 9n i ~v'G~ T <br /> Q.t3 d ~ r r <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ S <br /> Facilities Manager„ -.14 Date <br /> City Engineer~"'~ Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ® ~~T ~ <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering. File GOLDENROD /Project Manager ?ULY2004 <br /> <br />