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PROJECT AUTHORIZATION FORM <br />~ <br />~ <br />Engineering <br />Public Works <br />~ _. i 2 <br />Service ID: ~T3 ~ <br />Project title: ~ __ Z-~~ _ ~~ ~ <br />(/ocafion and work descriptionJ <br />City of Eugene <br />~ 244 E. Broadway <br />Eugene, OR 97401 <br />~~, (541) 682-5560 <br />SID '~PB ~GL ~ JC ~ JE~ <br />Project manager contact / private engineer: ~ <br />PROJECT SCOPE: <br />Paving: _ UG~-1~ 1~ Bike lanes / paths '- <br />(widlhsJ (wid7hJ <br />Concrete walks: '-' - Setback / Curbside " <br />(/engthJ (widfhJ <br />Wastewater "- Stormwater -- Landscaping <br />Signal Street lights '- ROW required ~ <br />New building construction ~ Planning, other - Remodel ~ <br />FUNDING SOURCES: <br />City ~,~ l33 Assessments - Private <br />Fed / State / County / FAA <br />M~M(ENTS / SPECIAL PRa <br />I Ll1C 1C /w_ iu:' <br />ECT,INFO. / INTERDEPARTMENTAL Wq,~iK DESCR <br />.~~: ~ _ ~~ o~ a ~l~ k. <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Other department ~' <br />Account code -._ <br />( %, fixed) <br />Date ~~'~Z _ <br />Date 7"'3~ - b ~ <br />Date <br />Date 7~~/ e0~ <br />ATTACHMENTS: <br />~udget 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 />O <br />OJ <br />~ <br />i <br />0 <br />o~ <br />-c <br />0 <br />~: <br />c; <br />c <br />~ <br />~ <br />< <br />0 <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />