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` PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eu ene OR 97401 <br /> 9 <br /> / (541) 682-5560 <br /> Service ID: ~ ~ SID PB GL JC JE <br /> <br /> ~ Project title: ~ 1 ~ l i~ <br /> J <br /> (location and work desciiptionJ <br /> Project manager /contact /private engineer: t t C:.. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (widfhJ <br /> Wastewater Stormwater Landscaping ~-'t ~ <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 /> ~ G.~~~ - - <br /> APPROVED: <br /> 7 ~ <br /> Project Manager _ Date <br /> Principal Engineer Date ` 1~ <br /> Facilities Manag ~ Date <br /> City Engineer ~ ~ Date ° ~ ~ _ <br /> FOR USE BY ADMINISTR?ATION pONLY <br /> Capital Project No. ACK _L~~~Z.." t07C`~Z~C,~;~~jn <br /> GL Title <br /> Assigned by ~ _ Date <br /> Accounting by Date <br /> gTTACHMENTS: <br /> ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> C Budget Worksheet ? Engineering Agreement ? ngineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ap <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />