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_ . <br /> •i ~ROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene ~ <br /> r 244 E. Broadway <br /> `iirr+ Eugene, OR 97401 <br /> ~ I ` / ~ (541) 682-5560 <br /> Service ID: J SID ~PB ? GL f JC ~E IAA ~ <br /> ~ I?roject title: l <br /> (location a work descrip/ion) <br /> i <br /> ~ roject manager / c ntact !private engineer: ~f~'~Y-~I~l ~~71.' <br /> r PROJECT SC E: <br /> EI Paving: ~ Bike lanes /paths: <br /> [ (widlhsJ (widlhJ <br /> ~ I Concrete walks: Setback /Curbside <br /> (/eng/hJ (widlhJ ~ <br /> i Wastewater Stormwater I /7 Landscaping <br /> i <br /> ~ Signal Street lights ROW required <br /> New building co struction Planning, other Remodel <br /> ~ ~ ~ FUNDING SOU CES: ~ <br /> City Assessments Private ~ Other department <br /> I Account code ~ <br /> v - _ ! Fed / State t Co my /FAA fixed) I <br /> <br /> ! OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> ~ - ~ <br /> f I <br /> APPROVEb: ~ <br /> Project Manage Date <br /> Principal Engin er Date <br /> Z Facilities Man er Date <br /> I <br /> City Engineer Date <br /> ~ i <br /> FOR USE BY ADMINISTRATION ONLY ~ <br /> I <br /> Capital Project o. ~z1 ACK ~+3~' 9.35 - ~ ~'x~~o - ~7~.5.?/ <br /> GL Title <br /> s , <br /> Assigned Date <br /> I ~ <br /> I Accounting by Date i <br /> c I <br /> t ~?TTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wor sheet Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's In tiating Order Public Improvement Permit Application ? Map 1 <br /> Request for Scop ng Meeting <br /> I <br /> i <br /> ENG 415 HITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I. <br /> <br />