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<br />4 j - q ~ : <br />.. '4 - F <br /> <br />PROJECT AUTHORIZATION FORM Engineering <br />Pubfioworks <br /> <br /> City of Eugene <br /> +~ 244 E. Broadway <br /> <br />~ Eugene, OR 97401 <br />(541) 682-5560 <br />Service ID: PB GL JC <br />SID JE <br /> - <br />Project title: <br />Project manager /contact /private engineer: <br />PROJECT SCOPE: <br />....Paving: <br />(widths) <br />Concrete walks: <br />(/engthJ <br />Wastewater Stormwater . <br />Signal Street lights- <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City Assessments <br />(width) <br />Private <br />Bike lanes /paths: <br />(width) <br />Setback /Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Account code - <br />( %, fixed). <br />APPROVEQ: - <br />Project Manager ~' Date ~ <br />Principal Engineer Date ~"~ ~-~- `"~~ <br />Facilities Manager ,rte Date <br />City Engineer ~"~, ,~~°`'~ ~;~' Date ~`~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK ~ ~ ~ "` <br />~~.~ <br />GL Title ~ ~ ~«' , ~,a <br />Date <br />$. <br />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 Ihitiating Order ^ Public Improvement Permit Application Map <br />^ Request for Scoping Meeting <br />f <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /ULY2004 <br />j <br />i <br />Fed /State /County /FAA <br />C[IMMFNTS / SPFCI~I PRn.IFCT INF(]_ /INTERDEPARTMENTAL WORK DESCRIPTION: <br />