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, ~.~G-~.. l ~ ~ <br />~~~_ <br />PROJECT AUTHORIZATION FORM ~ Engineering <br />~~ Public Works <br />City of Eugene <br />244 E. Broadway <br />~ Eugene, OR 97401 <br />,~ ~~ A~ (541)682-5560 <br />Service ID:~~~ ~ ` ~ p ~` , SID ~ PB ~ GL _ JC ~ JE ~ <br />Project title: <br />(/ocation <br />Project manager / <br />/ private engineer: <br />PROJECT SCOPE: ~ ~ <br />Paving: ~ '~ ~~ Bike lanes / paths: <br />(wrd7hsl (widlhJ <br />Concrete walks: Setback / C b'd <br />Wastewater <br />Signal <br />ur si e <br />~~ (/ength) (wi ~hJ ~~ „ <br />- ~ Stormwater~ Landscaping <br />Street lights ROW required <br />New building construction <br />I ~ '} <br />Planning, other <br />FUNDING SOURCES: <br />City Assessments <br />Private ~ Other department <br />Account code - <br />Remodel <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: • <br />Project Manager Date Z~~ <br />Principal Engineer Date ~ ~ <br />Facilities Manager Date <br />City Engineer ~ ~ I ~( ~-l C. Date ~~Z~ ~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ d ~ ~`~~ ACK ~~ ~ ~ ~ ~ ~~~~~ ~ ~ ~ ~__ <br />GL Title ~~ ~ d ~ V (_ !l~~9~.~~ ~ ~~i'6~~~° ~ ~~A <br />Assigned <br />Accounting by <br />Date ~ ~ ~ ~ <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 Initiating Order ~Public Improvement Permit Application ^ Map <br />~ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROQ, / Project Manager /UL Y2004 <br />