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a, , ~ _ <br /> 1 ~ ~ ~ ~ , <br /> ~ i H Engineering <br /> ROJECT UTHORIZAT N FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway j <br /> Eugene, OR 97401 <br /> ~ / / ? / (541)682-5560 I <br /> <br /> ~ ~ervice ID: ~ ~ SID/ PB GL JC JE i <br /> roject title: <br /> (/ocalion walk descnplionJ <br /> ~ project manager / ontact /private engineer: I <br /> I <br /> i <br /> 1 <br /> PROJECT SC PE: , , <br /> Paving: J"'~ Bike lanes /paths: <br /> ~ (widths) _ / (widlhJ <br /> i ~ Concrete walks Setback / Curbside qtr.-__ <br /> /~gglh) (wid7hJ / / <br /> j Wastewater Stormwater ~ ~ Landscaping <br /> Signal Street lights ? ROW required <br /> I ' <br /> New building c nstruction Planning, other Remodel <br /> FUNDING SOU CES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> ~ APPROVED: ~ <br /> I Project Manag r I Date { <br /> f Principal Engi ee Date <br /> I I <br /> Facilities Man ger Date <br /> Date ~ / f G ~ <br /> City Engineer , ~~r <br /> I FOR USE BY ADMINISTRATION ONLY i <br /> Capital Project No. J <br /> r~~~v ACK r~~~ <br /> ~f 351 ~u><y ~ ~~~-i 53~' <br /> ' , <br /> GL Title r~ J ~ S~vY'' <br /> ~ Assigne y Date / ~ (u ~ / <br /> i <br /> i <br /> Accountin Date <br /> I i <br /> ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet ? Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's nitiating Order ? Public Improvement Permit Application ? Map <br /> I, ~7 Request for Sc ping Meeting ~ / <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> i <br /> - - L---- <br /> <br />