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` PROJECT AUTHORIZATION FORM <br />Service ID: / <br />Project title' ~~ <br />(/ocation and <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />~~ f <br />~ <br />Engineering <br />Public Works <br />City of Eugene <br />~ ~ 244 E. Broadway <br />~ / ~ Eugene, OR 97401 <br />~ (541)682-5560 <br />SID PB _ GL ~ JC JE <br />• <br />~ vr.n~ /i I~ <br />Paving: Bike lanes / paths:. <br />(w/drhsJ <br />Concrete walks: Setback / Curbside <br />~~I (/engihJ (wid~hJ <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 />Accountcode - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date <br />Date <br />Date <br />Date ~-~~~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ,3~ 4~f 7~, A~K ~3/ s~~~i Cpv~aGx1~ 3~yy~ ~ <br />GL Title ~ ~ d~U'1 G~T`~T~-S V \/ ~V ~,, ~-` '"' ~~~ ~ <br />Assig <br />Accounti <br />~ <br />Date ~ <br />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 />^ f~eveloper Agreement ^ Engineer's Report On Improvement Petition <br />~F~ngineering Agreement ^ Engineering Service Work Request <br />~°Public Improvement Permit Application ^ Map <br />8 ~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />(widlhJ <br />z <br />