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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, 4R 97401 <br />X541 } 682-5560 <br />Service ID: SID PB GL ~JC JE <br />Project title: ~-- ~. ~ ~ I ~ ~. ~ <br />1 <br />(location and workdescriptianJ <br />roject mana~e~J~ontact /private engineer: <br />PROJECT 5COPE: <br />Paving: Bike lanes l paths: <br />(widths) (width) <br />Concrete walks: Setback 1 Curbside <br />(length) (width) <br />Wastewater Stormwater Landscaping ~ <br />Signal Street fights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Fed I State l County 1 FAA <br />COMMENTS 1 SPECIAL PROJECT INFO.1 INTE <br />!"p ~ { r- Q r I <br />~~~~ ~ i~ ~~~~. <br />Other department ~`~~ <br />Account code Lo E <br />(%, fixed) <br />EPAR MENT L WORK DESCRIPTION: <br />g ^ Developer Agreement ^ Engineer's Report Qn Improvement Petition <br />^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ~ap <br />^ Request #or Scoping Meeting <br />Private <br />APPROVED: <br />Project Mana er ~ Date 1 ~ ~ ~ ~~ <br />9 <br />Principal Engineer Date a <br />Facilities Manager ~* ~ ~' Date <br />Cit En ineer .. ,: ~~:`~:~;;,N~"~•~~r~:~¢'~,,~ ~~~ <br />~. <br />Y g . ~ Date , <br />,:.- <br />FOR USE BY ADMINISTRATION ONLY <br />F • ~ '; <br />r • a <br />~ ! iJ <br />Capital Project No. - <br />ACK `~ '~ <br />~. <br />~ E <br />~: ~ <br />GL Title ~-- ~ ~ .C, <br />Assigned by `~ ' <br />Accounting by <br />~~ <br />Date ~ ~ 'U! <br />Date <br />ATT HMENTS: <br />Bud et Estimate <br />Z <br />ENG 4~ 5 WI~iTE I Finance YELLOW I Administration File PINK 1 Engineering Fiie GOLDENROD 1 Project Manager JUL Y20~4 <br />