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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> Service ID: _ ~i,, ~ h ~ SID_ PB GL JC- JE <br /> Project title: ` ~ ~ / l ~ I ~ I~ U <br /> (/ocaiion and walk descnptionJ ~ <br /> Project manage /contact /private engineer: f ~T ~I ~-f~ ~ X <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ <br /> (widfhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ ~ (widlhJ L i <br /> Wastewater Stormwater ~ I U~-~~'~-S Landscaping?~2t/2~'"~" `I ° ~j~r~C ~ie( <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~j ~~~L 1 Assessments Private Other department <br /> C~C~C~ ~~C.W~~S ~ ~ 1 /C~/~~-W~j~~~~ ~~~~ccountcode <br /> Fed /State /County /FAA fixed) <br /> C MENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~v e ` ~ S r Y r <br /> ~ V <br /> APPROVED: ~ <br /> Project Manager ~~'%~C.? `~C--~ ~ Date ~ ~ti <br /> Principal Engineer Date - ~ C~ <br /> ~ Manager Date e <br /> City Engineer ~ ~9 <br /> ~ <br /> D <br /> ate <br /> r <br /> FOR USE BY ADMINISTRATION `ONLY <br /> Capital Project No. ACK ~1 <br /> GL Title <br /> Assi ed by Date <br /> Accoun mg by Date <br /> ATTACHMENTS: <br /> udget 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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />