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~ <br />~ ~~- ~ - <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />__ A , 244 E. Broadway <br />~ ~ ~ ~~ Eugene, OR 97401 <br />Service ID: ~~ ~~ SID_ PB _ GL~ JC _ JE "' ~541) 682-5560 <br />Project title: /~ ~ y ~ ~~- i~ al ~~~ 1l' J r~ <br />(/ocation and woik desciiptionJ <br />Project manager / contact / private engineer: '' ' ~!-+~ <br />_ -- <br />PROJECT SCOPE: <br />Paving: ~~~-~`~.~ ~' ~ Bike lanes / paths: <br />(widlhsJ <br />(wid~hJ <br />Concrete walks: <br />/englhJ <br />Wastewater _ ~~ <br />Signal <br />Stormwater <br />Street lights <br />(widrhJ <br />New building construction Planning, other <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDIN S~OURCES: <br />.,~~~-~r ~~~ Assessments Private Other department <br />~i~r~~ Account code ~=, <br />Fed / State / County / FAA (%, fixed) ~- <br />v,! <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: ~- <br />'_~ <br />~~ <br /><3 ~ <br />APPROVED: ~~:~~A ~ t~' ~ ' ~~ <br />Project Manager `e Date <br />Princi al Engineer ~ Date ' ` ~° ~~ <br />~~~~~e~' 'r~s~ Manager •-'~~ Date ~' ~ ~~ <br />City Engineer ,a Date Ci~~U"'7. <br /> FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~~ ~~ ACK ~~ ~ ~ ~~~ ~~Cc'~CC ~ ~ ~ ~ ~ <br />GL Title ~~"T ' ~.Q,l~.l 1~~ ~~l~ ~ ~1'1 <br />Assigned b ~ <br />~ <br />~~l ~ <br />Date ~ ~ <br />Accounting by 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 GOLDENROD / Project Manager /UL Y2004 <br />