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~ ~~ .. <br />V~j~.._ - -~1 `~ k ~i 5: 1 i ~ ~`~ <br />PROJECT AUTHORIZATION FORM ~ ~~ ~° Engineering <br />Public Works <br />s~ City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ ~~ ~ ~ ~~ ~,: ~~' ~g ~~° (541) 682-5560 <br />n <br />Service ID: ~~ SID_ PB GL JC _ JE <br />Project title: <br />(/ocation and iyoik descriplionJ ,g e s _ f r e°. . <br />/ private engineer: <br />Project manager / cont~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />Wastewater <br />Signai <br />1 <br />N;arhs~ Bike lanes / paths: <br />(widrhJ <br />Setback / urki i <br />~~ (/engthl (widthJ /a <br />~ Stormwater ~~ Landscaping <br />Street lights ~~ ROW required <br />New building construction Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private ~ <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJEC7 INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: ~ ~ - <br />Project Manager~ Date `J <br />Principai Engineer ~ Date ~ ~ <br />Facilities Manager Date - <br />City Engineer ~--~3 Date ~ ~` <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~~ ~~~ ACK ~~ ~ ~~~~ ~ ~~~ <br />GL Title ~ ~~ ~ <br />0 <br />Assignec~ by ~~~~ ~ Date ~~~~~~~ <br />rv n 4 rt <br />~- ATTACHMENTS: <br />F~ ~ ^ Budget Estimate <br />;., <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^, Developer Agreement <br />~ngineering Agreement <br />ublic Improvement Permit Application <br />~ ~ ~~~~ <br />YELLOW / Administration File PINK / Engineering File <br />Date <br />^ Engineer's Report On Improvement Petition <br />^ Engineering Service Work Request <br />^ Map <br />GOLDENROD / Project Manager /ULY2004 <br />Other department <br />Accountcode - <br />