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PROJECT AUTHORIZATION FORM <br />~ <br />~-~ A~ <br />; <br />~ ;~r <br />Engineering <br />Public Works <br />Service ID:_ <br />Project title: <br />PROJECT SCOPE: <br />Paving: / ~° ~ ~ / ~~ ~ Bike lanes / paths: <br />(widlhsJ (widfhJ <br />Concrete waiks: Setback / Curbside <br />~y (~' (/englhJ (wia'r ) y <br />Wastewater DL Stormwater ~~ / Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />City of Eugene <br />244 E. Broadway <br />~ ~ Eugene, OR 97401 <br />~ (541)682-5560 <br />SID ~PB ~ GL `~ JC ~ / JE ~~ <br />Project manager / contact / private engineer: <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 />APPROVED: < ~~ <br />Project Manager Date <br />Principal Engineer ~Gd+ ~~~ Date 2 <br />Facilities Manager Date - <br />City Engineer ~, ~! ~~C Date 5 2~fl7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~6' ~ ~ ~ ACK ~~~ ~~~~~ ~i~~~ ~ ~~ ~`~ ~~ <br />GL Title ~ ~.`~ ~~ ~ <br />Assigned <br />Accounting by <br />Date '`~%~~ ~~ ~.~ <br />Date <br />ATTACHMENTS: <br />!J ^ Budget Estimate <br />`~ ^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~,~,~E ineering Agreement ^ Engineering Service Work Request <br />Li~}'Public Improvement Permit Application ^ Map <br />~~~ ~ <br />YELLOW / Administration File PINK/ Engineering File GOLDENROD / Project Manager JULY200y <br />c~ <br />;,: ; <br />i <br />;,!/ <br />~~ <br />; .~ <br />~v <br />