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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> . ~ ~ (541) 6820-5560401 <br /> Service ID. SID PB ~GL ~ JC ~ JE <br /> Project title: ~ ~ ~ ~ ~ ~ ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ t~ ~ O <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (length) (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> J <br /> APPROVED: <br /> Project Manager Date _ it <br /> Principal Engineer Date ' ~ - <br /> Facilities Manager Date j <br /> City Engineer Date d~ <br /> i <br /> I <br /> FOR USE BY ADMINICS~TRATION ONLY <br /> Capital Project No. -e ®5 ~ ~ ~ ACK ~ 0 ~ ~ ~ ~ Z <br /> a <br /> GL Title ~ ~ o j' ;r G~ I <br /> Assigned by~ ' Date ~ <br /> Accounting by Date ~ <br /> i <br /> ATTACHMENTS: <br /> ~ Budget 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 />