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PROJECT AUTHORIZATION FORM <br />City of Eugene <br />~~244 E. Broadway <br />Eugene, OR 97401 <br />,/ ,/ ~ (541) 682-5560 <br />SID Y PB ~GL ~ JC ~! JE ~ <br />°~,t-T-~i ~ ~ ~ ~'/ e ~, I'I ! <br />Service ID:_ - ` ~Z ~ <br />Project title: ~' I_ ~$+~ ~V ~ ~ ro w <br />(/ocation and work descri,oiionJ <br />Pro'ect manager contact / private engineer: i~a <br />P rivate <br />PROJECT SCOPE: <br />/ <br />S <br />' <br />"' ~ <br />Paving: <br />~ i~ s <br />Cc 1 s <br />Bike lanes / paths: <br />r ~ (widlhsf (wid7hJ <br />Concrete walks: ~1 ~ Setback / Curbside <br />(/engthl (widlhJ <br />Wastewater - Stormwater - Landscaping - <br />Signal ~ Street lights -"' ROW required ~ <br />New building construction -` Planning, other - Remodei ~ <br />FUNDING SOURCES: <br />City 1FV`v~ /33 Assessments "- '- ~- <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL P O <br />~ <br />. <br />~ ~ s ~ s o~. ; K; `2 <br />~~ ~ <br />~~~ ~ <br />Engineering <br />Public Works <br />ECT INFO. / INTERDEPARTMENTnAL WORK DESCRIPTION: <br />~~'- -~ ~. P T r.~/ -9 e . ~ L» ~..~ ~ - J ~ <br />_ ( %, fixed) <br />-~ I.cbk _ <br />APPROVED: <br />Project Manager~ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Other department <br />Accountcode _ <br />Date ~ r ~~ r b ~z___~ <br />Date <br />Date _~~L/~ G <br />Accounting by <br />Date <br />ATTACHMENTS: <br />~Budget Estimate ^ Developer Agreement - - ^ Engineer's Report On Improvement Petition <br />i <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 />0 <br />~ <br />i <br />0 <br />i <br />~ <br />~ <br />-~, <br />0 <br />~ <br />~ <br />~ <br />c-~ <br />C <br />C7 <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />