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_ _ <br /> 1 G ~,,,,h ~ <br /> l / <br /> ~`~ROJECT UTHORIZATION FORM V Engineering <br /> Public Works j <br /> City of Eugene 1 <br /> 244 E. Broadway <br /> Eugene, OR 97401 ~ <br /> (541)682-5560 <br /> i Service ID: ~ SID PB GL JC JE <br /> Project title: ~ ~ <br /> (/ocalion nd work descnplionJ <br /> Project manager / ontact /private engineer: ~~M~SG~ ~ Mf <br /> 1~1~~1`'t'[J? <br /> PROJECT SC PE: <br /> Paving: Bike lanes /paths: <br /> i (widlhsJ /widlhJ <br /> Concrete walks Setback /Curbside <br /> ~ ~ //englhJ ~widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> i ~ ' FUNDING SOU CES: ~i <br /> City Assessments Private 1? Other department <br /> i <br /> Account code <br /> <br /> r ~ Fed /State / C my /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t <br /> I <br /> i <br /> ~ APPROVED: <br /> ~ Project Manag r Date ,lU ~ b~ <br /> Principal Engin r Date D ~ <br /> j Facilities Mana er''-" -Date <br /> ' City Engineer Date u' U <br /> FOR USE BY ADMINISTRATION ONLY < <br /> I Capital Project No. ~ ~ ~ ACK ~ Q %.as ~ ~ ~ ~ ~J <br /> { <br /> III GL Title e- t'" r ~ b~'~ ~ ~J ~.~1 >~r <br /> ~ Assigne by Date V <br /> ~ j Accountin y Date <br /> ATTACHMENTS: <br /> I ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Wo ksheet .Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's I itiating Order C~.Public Improvement Permit Application ? Map <br /> Request for Sco ing Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> <br />