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PROJECT AUTHORIZATION FORM <br />~~ V <br />~a-~"~ ~ <br />Engineering <br />Public Works <br />-. , <br />~, / <br />~ •.. <br />. <br />Service ID: ~~~j ~~ SID ~/ PB ~ GL _~JC J <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Project title: <br />Project man <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: _ <br />Wastewater <br />Signal <br />Street lights <br />(widlhJ <br />New building construction Planning, other <br />Setback / Curbside <br />Landscaping_ <br />ROW required <br />Remodel _ <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 />~ __ <br />APPROVED: <br />Project Manager r--''~ Date _ ~~ Z~~~ <br />Principal Engineer Date Z ~ Z-- <br />Facilities Manager Date _ <br />City Engineer ~ c~, , Date ~ y ~`~~b ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _~ A ~'°~~ ~ ACK ~~` ~~~ ~~~~- ~ / ~~~ ~-- <br />1 ~. . _ . . <br />GL Title <br />Assigned <br />Accounting <br />Date <br />ATTACHMENTS: <br />~~ '; ^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />O Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />~ g~' (/engthJ <br />Stormwater <br />Bike lanes / paths: <br />(widlhJ <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />,~, ~gineering Agreement ^ Engineering Service Work Request <br />Lt~"Public Improvement Permit Application ^ Map <br />~ ~V~~ ~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2005 <br />N <br />.c: <br />G <br />C•~ <br />0 <br />~:, <br />