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"ROJECT AUTHORIZATION FORM <br />~~ <br />~~~ <br />Service ID: ~~1o SID~PB ~ GL~ JC~ <br />Project title: ~~ oC. ~~ ! ~ ~~C „~-a ~ ~ ~ ~ h i y~..q <br />(/ocation and wo~k desc~iption ~ <br />roject manager contact / private engineer: P~ 2 <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widrhsl (widrh) <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 ~` Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />ENTAL WORK <br />Anr~i <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer ~' <br />Date f ~ ~ <br />Date ~ ~ ~ ~ ~ ~ <br />Date <br />Date ~ ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. "b ~ ~ l.~ ~ ~ ACK ~ ~~ ~3~ ~ ~~' `Z ~~' ~ <br /> <br />~ <br />~ . <br />~~~ ~ <br />GL Title <br /> <br />A <br />i <br />b c ~ <br />/~ ~ <br />ss <br />gn <br />y Date <br /> <br />Accoun ing by Date <br /> <br />ATTACHMENTS: <br />~~- ~. Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />t ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />t~_.. . <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 />Private <br />Other department <br />Account code - <br />Engineering <br />Public Works <br />~~ City of Eugene <br />244 E. Broadway <br />/^~ Eugene, OR 97401 <br />"~l (541) 682-5560 <br />J E~ <br />