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` V <br />~~ '~- <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />': : , 244 E. Broadway <br />~ ' Eugene, OR 97401 <br />~,s, / (541)682-5560 <br />Service ID:__ ~~ ~~ SIDi~~B ~~L ~ JC V JE _ <br />Project title: ~~ ~ ~ c~2'"1' ~ ~ ~J~-d~ ~ ~ ~ ~ I~y4 -~'~~J ~~'~ ~ ~ <br />(/ocation and oik desciiptionJ <br />Project manager / contact / private engineer: _~~~~'! ~B`~ ~~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsl (widlhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />~idtl"'~~' ~r~~ <br />New building construction Planning, other ~~ Remodel <br />F~U G,SOU ~ES: <br />~~ y ~ ~ Assessments Private <br />Other department <br />Account code - <br />~ . <br />APPROVED: ~~Gd'°C ~.r~ <br />Project Manager Date ~ ~~ ~7~-~-~~ <br />Principal Engineer Date ! • <br />~+~"~~ Manager ~ Date - « '~ <br />City Engineer Date ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ Z "~ ~ ~-7" 7~irZZ~ ACK ~ ~ ~ ~~~~ L~[~~ ~ ~ ~~'~"~ <br />GL Title ~~ ~ ' ~"'~Y}~ I {~.~ ~.C~'~~!l~~ <br />Assigned <br />Accounting by <br />Date ~ ~ ' <br />Date <br />A ACHMENTS: <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 />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />