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;~ <br />~~, <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 Y PB ~GL ~JC ~JE ~ <br />Project title: a ~ ~~~~ <br />( r~iion andWO~kdescnofioN s . <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: ~~ ~ <br />d <br />Paving: _ ~ <br />~W~a,hs~ Bike lanes / paths: <br />(widrh) <br />Concrete walks: Setback / Curbside <br />~ ~~ (/engthJ (wid/hJ <br />Wastewater Stormwater ~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROV <br />Project M <br />Principal <br />Facilities ivianager <br />City Enginee~ <br />Date <br />Date ~ <br />Date - / <br />Date `~,,~/(~ ~'7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _ ~~~~s2 ACK _~ ~` "4~~~ t~~~ ~ `~y ~JI ~ <br />GL Title ~~pliS t'~~iL~,,P <br />Assigned by <br />Accounting by <br />Date __ ~~~~~'~~ <br />Date <br />ATTACHMENTS: <br />i-", ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />l ,' ^ SDC Budget Worksheet ~Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ~ublic Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />Private_~_ Other department <br />Account code - <br />0 <br />--Y <br />i <br />~v <br />i <br />C <br />J <br />~ <br />u,: <br />rv <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />