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, <br /> l~OJECT A THORIZATION FORM /Q ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> , s' ~ (541) 682-5560 <br /> ! ervice ID: SID/ PB GL JC JE <br /> roject title: ~ ~ 11.E l ll.~ <br /> (/ocalion a wodr descriplionJ <br /> F~roject manager / c ntact /private engineer: °r" <br /> PROJECT SCO E: ~ ~ <br /> Paving: ~ Bike lanes /paths: s <br /> ~ ~ /widlhsJ 1 (width) <br /> Concrete walks: J Setback /Curbside <br /> (/angfhl (id1hJ <br /> Wastewater Stormwater Landscaping y~5 <br /> i ~ Signal Street lights ROW required <br /> New building co struction Planning, other Remodel <br /> 9 <br /> ! FUNDING SOU CES: <br /> City Assessments Private ? Other department <br /> i <br /> Account code <br /> t`?x:>k i Fed /State /~Co my /FAA fixed) i <br /> . ? t~OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: +I+ <br /> " ' I <br /> i <br /> . <br /> t ~ . <br /> APPROVED: + <br /> Project Manag r t, Date ~ ~~~7 <br /> Principal Engin er pate ~ <br /> ~ ~ I <br /> Facilities Mana r Date <br /> City Engineer Date ~ ~ ~-_b <br /> ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. "1 5 G~ ..Z ACK ~1 ` ( "7 3`~..` 1 y~'~.X ~r7 L~~ C-~° <br /> ' ~ ~ - <br /> GL Title <br /> Assigned y Date Z~ ~ / <br /> Accounting by Date <br /> I <br /> ''ATTACHMENTS: <br /> <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 nitrating Order Pubic Improvement Permit Application ? Map <br /> ? Request for Sc ping Meeting ~ f , ~ / <br /> t/~. L,J <br /> ~ I <br /> ENG 415 ~ WHITE4 Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />