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' ~ tl } 111 - c. <br /> - ~~R A I s~ 9 <br /> OJEC UTHOR ZATION FORM ~i;~r(_---- En tneerin <br /> . „5 Public Works <br /> 244 Et Broadway <br /> Eugene, OR 97401 <br /> i <br /> (541) 682-5560 <br /> <br /> { Service iD: SID_ PB G/L'_ JC JE <br /> Project title: ~ <br /> (locati and work d criplion/ <br /> i <br /> <br /> iir <br /> !Project manager contact /private engineer: ~~~-t1.,~-' ~ 2 <br /> <br /> 4 ~ ` <br /> PROJECTS PE: <br /> ~ ~ Paving: Bike lanes 1 paths: <br /> (wioYhsJ (witffh) <br /> Concrete walk : Setback /Curbside <br /> / /length/ (wrdlhJ <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> 1j <br /> ~ New building c nstruction Planning, other Remodel <br /> ~ ~ <br /> r i <br /> FUNDING SO RCES: <br /> City Assessments Private ? Other department <br /> Account code <br /> Fed ~ State I Co my /FAA fixed) <br /> r <br /> OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> `r ~ i <br /> i <br /> t <br /> 3 / <br /> ,I <br /> I <br /> a~~ ( ~ _ ~ <br /> APPROVEbc <br /> Project Manage Date d <br /> Principal Engine r Date y <br /> y Facilities Manag r Date <br /> City Engineer Date ~ v~ <br /> FOR USE BY ADMI//N/ISTRATION ONLY ~I / j <br /> Capital Project N ~ <br /> L~ ~ ~ ACK(si~~ 3S ~ ~~X x ~ / , <br /> YY i~ t--~£' tJ~l'1-~ ~t G V~ <br /> GL Title ~ <br /> Assigne by Date lO/Z~/Q l <br /> 1 <br /> i <br /> Accounting by Date <br /> I <br /> I <br /> A1~TACHMENTS: { <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ~ <br /> [~7 $DC Budget Works eet Engineering Agreement ? Engineering Service Work Request I <br /> City Engineer's Initi ting Order ~ Public Improvement Permit Application ? Map ff~ <br /> Bequest for Scopin Meeting l <br /> f ~ I <br /> E~G 115 WH TE f Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 1 <br /> <br />