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.. ` ~ . i • I . , .. . ~ ~ ~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />- City of Eugene <br />~ / 1 244 E. Broadway <br />\ - Eugene, OR 97401 <br />/ (541)682-5560 <br />Service ID: SID ~ P ~ a/ ~ ~ <br />_ i _ GL JC _ JE ~ <br />Project titie: ~ <br />(/oc bn and w~ork esciiptionJ ,. <br />Project manager / contact / private engineer: ~ ~ i ~ <br />C <br />~C~l~. <br />PROJECT SCOPE: <br />Paving: W;dfhs~ °" ~'i Bike lanes / paths: <br />(widrhJ <br />Concrete walks: Setback / Curbside <br />~D(~ngthJ (widlhJ /~ ~ ~~' <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private ~_ Other department <br />Accountcode _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date <br />Date ~ , ~ ~ ~ <br />Date ~~~~ <br />Date ~ ~ (~'/ ~ / <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ` ~ ~`I ACK (.L~ 3l °' ~~~ ~ ~~~>a,yt°. "' 37~5~ <br />GL Title ( ~~- ~ r r <br />Assigned by ~ Date <br />Accounting by Date <br />ATTACHM ENTS: <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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />