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PROJECT AUTHORIZATION FORM. <br />~ ; <br />Service ID: ~~ ~ ~ <br />Project title: /"1~ ~ ~ 1 <br />(/ocation and work descriptionJ <br />1..~ ~ - <br />~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~./ / 6/ ~ (541)682-5560 - <br />SID ~PB ~! GL V JC v JE ~ <br />Project manager / contact / private engineer: ~~=~C' ~' ~- ~ ~~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br /> (Widrns~ ~widrr,~ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widthJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other ~~~~`ii~ ``j Remodel <br />FUNDI G SOURCE~: <br />~~ ~ Assessments Private Other department <br />~ tl <br />~~r~~~~` Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ c{ S <br />v~~-vr <br />~~ <br />cs: <br />( %, fixed) ~ <br />.~~:: <br />~~ <br />APPROVED: ~~~~ ~~~ <br />Project Manager „ Date ~ ~ ~ ~ <br />Princip I Engineer Date ~ ~Z ~ ~ <br />Gj 7 <br />~. ~ ' s Manager -~~~~~ ~~ Date ~ ' ~~ <br />City Engineer Date ~~ • <br />_--- <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project Na ~`1 ~ ` ~ ACK ~~ ~ ~ q 1 i ~ ~~~~9C; <br />GL Title ~1-~~ ~ 1 ~ `~ J C-''~~ ~ ~P ~~--~ ~~1~-.- ~'~'l~ <br />Assigned <br />Accounting by <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 GOLDENROD / Project Manager /ULY2004 <br />Date ~~~~~ <br />