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- ~ <br />~ ~, ~=_-_~~_:~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />ity of Eugene <br />~ ~`~ 244 E. Broadway <br />~ Eugene, OR 97401 <br />~ ~ ~ (541)682-5560 <br />Service ID: ~5~~ SID_ ~e GL JC _ J _ <br />Project title: ~ ~~t <br />(/ocation and work descnpiionJ <br />oject man r/ contact / private engineer: ~11~ ~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: _ <br />Wastewater <br />Signal <br />Street lights <br />(widlhJ <br />New building construction Planning, other <br />Bike lanes / paths: <br />~~~dih~ <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />Ci ~~~' Assessments Private <br />~ ~ ~u~r C~~nr~,~,,~'r~ <br />Fed / State / County / FAA <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~~ <br />Other department <br />Account code - <br />( %, fixed) <br />Date ~ ~~~ <br />Date 4 <br />Date <br />Date ~ ~ ~~%' <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~1~ ~~ ~ ACK ~~~`° ~~~ ~~ ~dL'~~~~Ci • ~~ ~_ <br />GL Title ~ _ _ ~ ~ ~( ~~ <br />Assigned by ~~ ~~ ` Date ~_ <br />Accounting by <br />Date <br />A ACHMENTS: <br />~! Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~i <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 />~r ~~ ~ (/engt <br />-, Stormwater <br />