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'''iR`~( ..A:.,.'i ..a . - t. . reg. -a.. <br /> a ~ ~ <br /> ~~RROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> f City of Eugene ' <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: 5 Z SID PB ?GL ~JC ? JE~~ <br /> Project title: ~ ~ ~ (.~7 I ~ <br /> (/ocatro and work descriptronJ <br /> 'i Project manager contact !private engineer: lje,l~~..~-~ 1..1~ ~ ~11~.~T <br /> I, <br /> ~ ~ PROJECTS OPE: <br /> i ~ <br /> ' ~ Paving: ~ I Bike lanes /paths: <br /> j (widlhsJ (widlhJ <br /> ~ ' Concrete walk : tbac Curbside ~t1TT1,~.,E <br /> I ~ /(~nglhJ (widlh) <br /> !i <br /> Wastewater ~ Stormwater f Z Landscaping <br /> t <br /> ' ! Signal Street lights y~L~ ROW required <br /> t <br /> New building nstruction Planning, other Remodel <br /> ` i <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> I <br /> t ! Account code <br /> ~I <br /> Fed /State / C unty /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1, ~ l <br /> ny ~ <br /> r Y J <br /> APPROVED: _ <br /> Project Manag r J ~ Date <br /> I ~ Principal Engin er Date 3 ~ ~ b~ <br /> 4 Facilities Mana er Date <br /> I City Engineer Date ' <br /> D~ I <br /> k I <br /> f FOR USE BY ADMINISTRATION ONLY i <br /> <br /> I <br /> Capital Project o. ~7 ~S~ 2-' ACK ~ 3 ~ 3~~ " GO "X X 7~~:, - 3~7~.5,? <br /> ; <br /> GL Title ~ ~ <br /> ~ - ~ ~ f <br /> Assigned by Date <br /> ! Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On improvement Petition <br /> C~ SDC Budget Wor sheet Engineering Agreement ? Engineering Service Work Request <br /> C~ City Engineer's In tiating Order Public Improvement Permit Application ? Map , <br /> Request for Scop g Meeting <br /> ENG 415 RITE /Finance YELLOW / Administrat+on File PINK! Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />