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_ .. /~' ~ ~ <br />PROJECT AUTHORIZATION FORM ~ ~ ~ ~ Engineering <br />Public Works <br />City of Eugene <br />~ " :, 244 E. Broadway <br />` ' Eugene, OR 97401 <br />" { , (541) 682-5560 <br />Service ID: <br />~ SID ~PB ~GL~ JC~ JE <br />Projecttitle: ~"`~~ ~c~~. ~~c~r°~~v°~~, `f'~s~s~! °" '~~~,•~~~~,~,,,~,'~°°',~ <br />(/ocafion and woik desciipfionJ <br />Project manager / contact / private engineer: ~ ~ ~~~ ~ ~ t ~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(wid/hsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthl (widfhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New buiiding construction Planning, other'~. ~t"~ ",~ ~m Remodel <br />~~ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br /> ~~!°` <br />~~ <br />~' <br />Date 1 <br />Date / <br />~ ~~'~ (~ <br />Date <br /> <br />Date / <br />'~/ ~°/~'~ <br />ATTACHMENTS: <br />~ Budget Estimate <br />!~ ^ SDC Budget Worksheet <br />,,. _.;, <br />- ^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ~Map <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />0 <br />-~ <br />i <br />~; <br />~ <br />c <br />U <br />c <br />v~~ <br />v-s <br />--3 <br />;~'i <br />c'~ <br />C <br />v <br />FUNDING SOURCES: <br />City r~ -°~ ~~+~ssessments Private Other department <br />~~~~ , `~~` ~ ~ ~~~ ~~~ Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WoRK ~ESCRiPTinN~ . <br />