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P~tOJECT AUTHORIZATION FORM <br />i~~ ~ <br />/V <br />~ ~ <br />Engineering <br />Public Works <br />Service ID: ~ ~ ~ ~°` <br />~ ~~~ ~~~ ~~~ ~~ <br />Project title: ~ <br />(/ocalion and woik descriptionJ 0 ~{ <br />v <br />Project manager / contact / private engineer: _ ~~ f~. ~ 1 ~. ~ ~ ~ ~'~' <br />PROJECT SCOPE: ~ ` <br />Paving: . ~ ~~ ,~ ~ ~ Bike lanes / paths: <br />(widfnsl (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (wid7h) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~ i~ ~ ~~~ssessments Private Other department <br />~~ ~O Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: ~ <br />Project Manager ~ Date ~~ ~~ ~ ~~' <br />Principal Engineer Date 'Z~~ <br />Facilities Manager Date <br />City Engineer E ,, .(~,n , Date 7~2~ Q'~ <br />_ _-__ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~~`~ ~ ACK ( ~~ ~~~~ ~ ~~. ~~ ~~"~~~ <br />GLTitle ~~~ `~~ _ ~ ~ l ~ ~~1~ <br />Assigned <br />Accounting by <br />Date ~ ~~! ~~ __ <br />Date <br />ATT CHMENTS: <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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />City of Eugene <br />~ 244 E. Broadway <br />~~ Eugene, OR 97401 <br />,~ (541)682-5560 <br />SID ~PB ~GL"JC ~JE~ <br />~~~.~ ~ ~ ~ ~ <br />' ~~ <br />~;. <br />-.: <br />~ <br />~ ~; <br />v <br />C1~ <br />~- <br />0 <br />~r: <br />V.k <br />ti~ <br />~:J <br />F~ <br />0 <br />