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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: ~~~3 <br />Project title: ~~~ <br />(/ocation and wo~k descriptionJ <br />~~ ~~ <br />~~,~_~ <br />~ ~~ ~ <br />SID_ PB GL _ JC JE <br />1~'-~'o v~n ~~ W~, L t ~{~- <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />~Project manager contact / private engineer: ~ d~ r i U~ <br />PROJECT SCOPE: <br />Paving: ~ G'r'~c-?9~t,vt_ (nJ ~ o~ ~'I~I.S Bike lanes / paths: <br />(widlhsl (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~X Assessments <br />Fed / State / County / FAA . <br />COMMENTS / SPECIAL PROJ <br />< <br />: ~.an,...lc. <br />INFO. / I <br />ENTAL VI <br />~k ~ ~ <br />Other department <br />Account code <br />( %, fixed) <br />DESCRIPTION: <br />~_ P- --- ~ t - <br />APPROVED; <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date s ¢ <br />Date ~ /~~~ ~ <br />Date ~` <br />Date ~ /~'~G ~7 <br />ATTACHMENTS: <br />~ [~'~udget 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 L~~p <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />Private <br />:~ <br />~w ~ <br />~ <br />J <br />~! <br />~:. <br />~ <br />~ <br />~~ <br />