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` PROJECT AUTHORIZATION FORM <br />, <br />r <br />\ <br />Engineering <br />Public Works <br />Service ID:-~ .~ G~ ~ <br />Project title: <br />(/ocation and work desciiptionJ <br />~/~ ~/ ~ <br />~SID ~ PB ~ GL~ JC ~ JE ~ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />~ " ~ <br />Project manager / conta / private engineer: ~ ~'~C°~i ~°~i~ <br />PROJECT SCOPE: <br />Paving: ~ ~,~;drhs~ ~' Bike lanes / paths: <br />(widlh) <br />Concrete walks: Setback / Curbside <br />~~ (/ength) (widlhJ <br />Wastewater ~ Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private ~ Other department <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 3 ~ `~ 5I S ACK ~~1 " ~3'~L - ~- ~G'?o~o)D "" 3-7 tf ~' /~"' <br />GL Title 1 ~ ~~~ I ~~/~ - ~~~~ <br />Assigned by ~/~ Date 7~ 5. Q _ <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 />c~ <br />~, <br />;v <br />~, <br />i <br />" <br />-a <br />u <br /><~ <br />f~i <br />Ci,1 <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />