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PROJECT AUTHORIZATION FORM <br />~----~ ~---~ <br />~ <br />~~ ~ <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />(~ `/ ~~ (541) 6820-5560401 <br />Service ID: 1~~~ SID PB ~GL ~JC ` JE <br />Project title: ~~ (~O ~~ I S ` G-X ~ lN G. t1 ~'X ~- ~ J Q 11 <br />(/ocation and woik descnptionf <br />Project manager / contact / private engineer: _ P~-'[Y~1 CK (..~ ~ <br />PROJECT SCOPE: / <br />Paving: ( ~ Bike lanes / paths: <br />~widres) ~w~drn) <br />Concrete walks: Setback / Curbside <br />(/ength) (widthJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURC~E~S: <br />~t~~City ~ ~~ ~ Assessments Private Other department <br />/rj~ Account code - <br />Fed / State / County F~ ~ ~ a! ~ `~'~'~ ~ "~`~~ ~U- <br />~ <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: `~G'~~~72C/ =~ ~I ~ ~ <br />Project Manager Date <br />Principal Engineer Date d <br />Facilities Manager ~'~ • Date ~ ~ ~ <br />City Engineer Date ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~~I ~ ACK [~1 i ~ C~~`'~ ~L~' f~~.~ -I - 1 ~~l ~ <br />GL Title ~ 7 ~ ~~~ `~~ ~~X-~ ~ <br />Assigned Date / ~ ~ ~ _ <br />Accounting by Date <br />ATTACHMENTS: <br />Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~, SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />i <br />0 <br />u <br />~ <br />~ <br />~, <br />w <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />