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PROJECT AUTHORIZATION FORM O Engineering <br /> Public Works <br /> City of Eugene <br /> / ~ / ~ n 244 E. Broadway <br /> -V/ ~/~1/ Eugene, OR 97401 <br /> / ^n (541)682-5560 <br /> Service ID: ~_i <br /> (J~// I PB GL JC JE <br /> Project title: __~;~~It~QI' <br /> Project manager /contact /private engineer: ~ l ~iYL.GI',/"~1 n ~ n h ~ Str <br /> PROJECT SCOPE: <br /> Paving: rw~~ Bike lanes /paths: /~h <br /> Concrete walks: Setback !Curbside <br /> (/w+9/pI (w/Vlh/ <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private_ Otherdeparlment <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> COMMENTS !SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager - Date (t t Z; Q <br /> Principal Engineer Date ~ ~ {I N <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ OP <br /> ~7 F,OfR~USE BY ADMINI~SZ,TRATION ONLY I,,/1f~ v <br /> CapitalP1roj'ect~No. ~~~!^~~~y-yw~ A1CK~~~?)~y,~,(~~ A /r~~~WW <br /> GL Title ~L- 1-~-~ ~ V^) ~ - X - " ~ / <br /> Assigned by l t~3 ~CJ Date I' v <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Ct~9gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL V2004 <br /> ~i3 <br /> <br />