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- ~'~ ~, <br />. ~~. ~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ ~ ~ (541)682-5560 <br />Service ID: ~~~~ SID PB GL JC _ JE ~~ <br />Project title: L~~.1~~~~~~,~~' ~ ~ <br />~ <br />(/oc tion and wo~k desciiplionf <br />~7 ~st.~t.r ~_~___~~~ d~"~_~~-.~..} ~h,n~ ~~r1~~~ ~ <br />Project manager / contact / private engineer: V~~ G-G~~ ~d~, <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: - <br />d <br />Bike lanes / paths: <br />'S~ /widra) <br />g etback Curbside <br />~C (/engthJ (r~s'~iihl df <br />Wastewater _~j Stormwater ~ ~ Landscaping <br />Signal <br />Street lights <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City <br />Assessments Private ~ Other de artment <br />P <br />Fed / State / County / FAA <br />Account code <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: - <br />Project Manager • -~ Date ___~_~~~~~- <br />Principal Engineer ~~'~--{ .~-- t'c~ t~PU-~- Date ~(Z~l~s/ <br />Facilities Manager ~ - Date <br />City Engineer , ~ p!'L----~ Date ~~~~ <br />_ ATTACHMENTS: <br />~ ^ Budget Estimate <br />'` " ^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^ 9eveloper Agreement <br />~~F~ngineering Agreement <br />L~fPublic Improvement Permit Application <br />~~~~~ <br />YELLOW / Administration File PINK / Engineering File <br />^ Engineer's Report On Improvement Petition <br />^ Engineering Service Work Request <br />^ Map <br />GOLDENROD / Project Manager /UL Y2004 <br />c <br />~~; <br />i <br />C`7 <br />~~ <br />i <br />c <br />~ <br />y <br />cJ <br />c~• <br />f'J <br />;~:) <br />