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PROJECT AUTHORIZATION FORM. ~ \ Eng'"~~'"g <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />/' (541)682-5560 <br />ServicelD: ~~` ( SID •/ PB ~ GL ,/ .1C; ~' .IF 1~~ <br />Project title: <br />Project manager /contact /private engiheer: <br />PROJECT SCOPE: <br />Paving:. ~ Bike lanes /paths: <br />(widNis/ / _, /~ (gal. <br />Concrete walks: u~, tG~~( i!~Ir'a, ixt:Sl t~,J -etbac / Curbside' <br />f ~r (/en9~l ~- Mora) ~~. L-- <br />Wastewater (o Stormwater ~ Landscaping <br />Signal Street lights bE.r~ ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments . <br />Fed /State /County /FAA <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manage,, ~~ <br />Principal Enginecsr <br />Facilities Manager <br />City Engineer <br />Date ~ Q <br />Date <br />Date <br />Date ~'~y~, <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ ~ ~ ~ ACK ~~ -~~ ~.~ _ ~ - -.~ ~~~. <br />GL Title ~~C~,i~'~- e ~~~~` ~~~J~ <br />Assigned by <br />~ Accounting by <br />Date P I c~-~~ <br />Date <br />ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet [~gineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ublic Improvement,Permi# Application ^ Map <br />^ Request for $coping Meeting- <br />Private .Other department <br />Account code . <br />ENG 415 WHITE /Finance YELLOW, /Administration File PINK /Engineering File GOLDENROD./ Project Manager /UL Y200¢ <br />