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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> <br /> i City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~66~ SID ~PB GL ~ JC JE r L <br /> Project title: -~~~d,~Vyi~~`1(V ~c~ <br /> (/ocarion and work desciiptionJ <br /> 4 ~ <br /> Project manager /contact ivate engineer: i ~ ~ ~ c~ <br /> PROJECT SCOPE: ~ <br /> <br /> j Paving: Bike lanes /paths: <br /> (widrrsJ ~ ' rv' ~ widrn~ <br /> Concrete walks: ~ ~ ~ o~i`®+a~ Q f~e~~back /Curbside _ <br /> Wastewater ~ / /~-T~~'"7' Stormwater ~ ~ i ~ Landscaping <br /> Signal ! A ~ Street lights ~c~ <br /> S 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 /> APPROVED: <br /> Project Manag Date ~ l - <br /> Principal Engi r Date <br /> Facilities Manager ~ Date <br /> City Engineer ' ~ Date ~ G <br /> FOR USE BY ADMINISTRATION ONLY~C~t <br /> Capital Project No. ~ ACK ~ ~ ~ J ~ ~ ` <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: R~~"'"" <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ ` <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />