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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service I D: ~~ ~ ~ ~ <br />Project title: ~ ° `~~ ~ <br />(/ocation and wo~k desc <br />~ ~~j ~ -.- <br />~~ ~~`U ~ <br />~ <br />SID V PB ~GL ~! , <br />•~ ~ i ~ ~ C~-°Y'l~_ ~ <br />~ ~ <br />~ City of Eugene <br />~1 244 E. Broadway <br />~ Eugene, OR 97401 <br />~ ~~ (541) 682-5560 <br />C JE _ <br />Project manager / contact / private engineer: ~r •~f~~~ ~~ X <br />PROJECT SCOPE: ~ ~ ~ <br />Paving: ~~ ~ ~ ~ ~ ~J Bike lanes / paths: <br />(widthsJ ~r,yid~h~ <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 />it ~~ Assessments Private Other department <br />~~ ~ ~ ~`~~ Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: ,i!- <br />"~ <br />~ ~~ ~ ~~ <br />Project Manager ~--~ Date <br />Principal Engineer Date ~- ~ <br />Facilities Manage Date <br />City Enginee Date __' f~'7 ~ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project Na ~ ~ ~ ~~ ACK ~ ~ ~ ~~~. ~ ~~~ ~ ~~ ~~~ <br />GL Title I~ ~~ es'.~~~~~~ ~~ ~ ~~ ~ ~ ~ 6~ ~~~~1~~ ~, <br />Assigned <br />Accounting <br />Date ~~ <br />Date <br />ATTACHMENTS: <br />~' ~Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />`~ - ^ SDC Budget Worksheet ^ Engineering Agreement ~ngineering 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 />