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~ P'1-~OJECT AUTHORIZATION FORM <br />~- ~ _~-,_~ <br />~ <br />Engineering <br />Public Works <br />~ Ciiy of Eugene <br />` 244 E. Broadway <br />~ ~ Eugene, OR 97401 <br />,r,~ l r1~" (541) 682-5560 <br />Service ID: ~l"C~ SID~PB ~GL ~JC _ JE~ <br />Project title: "~ r r L <br />(/ocation and work <br />Project manager / contact / private engineer: <br />i~ i <br />PROJECT SCOPE: <br />i <br />Paving: 3 t~' Ur,.r-; cs Bike lanes / paths: <br />(wrdrhsJ <br />(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 F~~ 133 Assessments """ Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PRC <br />~ <br />~ ~.C ic /_ :u.: <br />Other department ^ <br />Account code "' <br />IECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />, 1 ~ ~ r ~ n ~ <br />( %, fixed) <br />-~ ll~k _ <br />APPROVED: <br />Project Manager Date ~ z <br />Principal Engineer Date ' <br />Facilities Manager Date <br />City Engineer ~ ~i , Date ~~t ~~~ <br />ATTACHMENTS: <br />;- ,~Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />3, ! ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />j~_._.' <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ~ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br /> <br />0 <br />C~ <br />I <br />c: <br />r~.~ <br />i <br />c <br />a, <br />~ <br />c <br />~.. <br />0 <br />C? <br />C <br />G <br />