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i :m . <br /> I <br /> f k z <br /> ~}-~-'}'Y1 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i <br /> i <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> /~y.~ / ~ ~ (541) 682-5560 <br /> 'Service ID: 'r ? SIDS,/ PB ~GL JC JE <br /> i n~l <br /> j Project title: ?S~ ~ l~T~/~~,~ ~~L~ <br /> (/ocalion and work descriplioy ~ r ! ' 1 <br /> ~I Project manager /contact /private engineer: ~~~Y ~~~11~~C~'~-~ j~~~~ <br /> PROJECT SCOPE: <br /> ~ ~ <br /> ~ Paving: ~ Bike lanes /paths: <br /> (widlhsJ (widfhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ /widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights v'~ 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 /> 11 <br /> COMMENTS / SPACIAL PROJECT INFO. / INTERDEPAR~ENTAL WORK DESCRIPTION: <br /> a i <br /> C ~r'~; <br /> ~ <br /> APPROVLb: <br /> i <br /> Project Manager Date <br /> I o <br /> Principal Engineer Date ~ i- <br /> Facilities Manager Date <br /> City Engineer Date ` ! `f ~ <br /> ~ ~I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Ca ital Project No. ~ ~ ~ ACK ~ ~ ~XXX Y ~ ~~S(.s° ~ <br /> I P 1 }~I ` ~ <br /> GL Title - I ~ ~ ~ ~ ~ ' ~ ~~I <br /> i <br /> Assign by Date ~ z U v O <br /> Account) g y Date ~ <br /> ,ATTACHMENTS: <br /> b Budget Estimate Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~7 SDC Budget Worksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> p City Engineer's Initiating Order l~Public Improvement Permit Application ? Map <br /> ~ ~l Request for Scoping Meeting ~ I ~ <br /> I I <br /> ~NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> ' I <br /> <br /> I_ <br /> <br />