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~ <br />~~ <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: ~3T <br />Project title: ~ ~c3~ ~C /dr~~~ar.J r~ <br />(/oration and wo~k desciiptionJ <br />Project manager / contact / private engineer: <br /> <br />City of Eugene <br />~~ 244 E. Broadway <br />Eugene, OR 97401 <br />~ (541)682-5560 <br />PROJECT SCOPE: <br />Paving: ~W' (JGri cS Bike lanes / paths: <br />(widrhsJ (widrhJ <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 ~~ (,3~_ Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL RC <br />. <br />~ i c ~ S A~ ~-~: ~„ <br />Other department - <br />Account code - <br />INFO. <br />AL WORI~ DESC <br />1 A_ ! ~ '~~ 1 '_ _ <br />~ ~~~~_ <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date Z <br />Date - '' <br />Date ~' <br />Date 7~~i/ S~~ j ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ t ~~°~ ACK ,~~ ~.~~ Z- ~4 ~- <br />GL Title ~~~ ~`C1`~.. ~~0~,~ ~. ~~(t~.~r°\-- ~e:~1~~.~ <br />Accounting by <br />Date ~ ~ ~ <br />Date <br />ATTACHMENTS: <br />f- ~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 />SID~PB ° GL `~ JC ~ JE <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />