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PROJECT AUTHORIZATION FORM <br />~G / <br />~~ ~ ~ <br />Engineering <br />Public Works <br />;_ <br />,. .., <br />Service ID: ~ ~ ~ ~ ~~ <br />~~~ 1 SID PB _ GL _ JC _ JE <br />Project title: ~_~?~s c • ~ <br />descriptionJ <br />Project manager / contact / private engineer: <br />•, ~ s , ~ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />PROJECT SCOPE: <br />i <br />Paving: ~~~ Bike lanes / paths: <br />(widlhsJ (widlhJ <br />Concrete walks: <br />Wastewater <br />Signal <br />Setback / Curbside <br />~ (/ength) (widfhf o~ <br />S Stormwater ~~. Landscaping <br />Street lights~ ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />P <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_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date ~ ~ <br />Date ~ ~ <br /> <br />Date <br />Date 1?~~ G' ~G <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~'~ ~~ ~ ACK ~~~ ~~ ~~~-yC ~ / ~ `l~,c ~ <br />GL Title ~~ ~`'~"~' ~ ~ ~ ~ Q~ <br />Assignedb Date /~ ^ `~`(' <br />Accounting by 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 />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~gineering Agreement ^ Engineering Service Work Request <br />ublic Improvement Permit Application ^ Map <br />~ ~c~ ~G ~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y200~, <br />