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\ <br />~,r.~' <br />~~ ~ <br />~~,~~ / <br />PROJ~CT AUTHORIZATION FORM Engineering <br />~~ ~,~~/"~_ PublicWorks <br />City of Eugene <br />/1_~ 244 E. Broadway <br />~'~ Eugene, OR 97401 <br />Service ID: ~~ "~ SID~B GL ~ JC ~! ,lE~,/~~ ~541) 682-5560 <br />Project title: °`~ ~ t ~ ~ ~ c`-~- .f~~'~~ ~ ~_ ~_AY'Jl , ' .e /~ ~ (~ <br />(/ocation and wo~k descnptionJ -~ <br />Project manager / contact / private engineer: ~~~ ~~1~ ~~ ~~ C' r )C <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/englhJ <br />Wastewater <br />Signal <br />Bike lanes / paths: <br />~W~arh~ <br />Setback / Curbside <br />(wid J n <br />Stormwater ~~ ~h `~-~~andscaping <br />Street lights <br />New building construction Planning, other <br />ROW requi <br />Remodel <br />FUNDING SOURCE$: <br />City~?I L~1t~ I~~C) ~ Assessments Private <br />Other department <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date '~~ ~ I~ <br />Date 1' 1 ~ `"~ ~ <br />Date _ _ <br />Date ~/~ y ~G~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 1 tS~~~ kJ~~3 ACK ~J1 `{~c ~.(~)CJC~XJf Q~~~ <br />ATTACHMENTS: <br />~"` ', ~„Budget Estimate.~fltvnvn~ ^ 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 l~Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />Accounting by Date <br />