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_ . <br /> ~ ~ ` ; <br /> I <br /> ~ ';PROJECT UTHORIZATION FORM Engineering <br /> j Public Works <br /> ' City of Eugene <br /> ' i ~ 244 E. Broadway <br /> Eu ene, OR 97401 <br /> ~ 9 <br /> ( (541) 682-5560 <br /> i 'Service ID: SID ~PB ~ GL~ JC" JE ~r~ <br /> !Project title: i <br /> ~ alion nd work description) ~ <br /> ; i <br /> I ~ <br /> roject manager / ontact /private engineer: 0 ~ ~ . <br /> ' / <br /> ~ ~ i <br /> I PROJECT SC PE: i <br /> j Paving: r ZSw ~ Bike lanes /paths: <br /> (wid/hJ <br /> Concrete walks Setback /Curbside <br /> //er~glhJ (widf <br /> ~ Wastewater Stormwater _ ~Z~ Landscaping <br /> i <br /> l ~ <br /> i Signal Street lights ROW required <br /> f ( New building co struction Planning, other Remodel I <br /> I <br /> FUNDING SOU CES: <br /> I i City Assessments Private Other department ~ <br /> Account code { <br /> ~a~j i Fed 1 State / Co my /FAA fixed) 1 <br /> ~ ~r ~ OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> I a"~ I <br /> j~. <br /> <br /> C ~ ~ ~ ~ <br /> s: ` <br /> l , <br /> i I <br /> p. <br /> i ~ r <br /> i 3 APPROVED: ' <br /> f Project Manage ~ k ..i ~ f ] ~ <br /> Date T_ ! <br /> Principal Engine r Date ~ i <br /> ~ I Facilities Manag r Date , i <br /> City Engineer Date ~ ~ f <br /> I <br /> FOR USE BY ADMINISTRATION ONLY j <br /> i / <br /> Capital Project o. ~~~-~.7b ACK tA3 ~ ~ ~~J i? ~i/szQ <br /> f i <br /> I GL Title <br /> ~ i % ~ <br /> ; <br /> ~ Assigned by Date ~ Z2_ <br /> f Accounting by Date j <br /> i <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Work heet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Ini iating Order ~ Public Improvement Permit Application ? Map <br /> ? Request for Scopi g Meeting <br /> LNG 415 HITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> - I <br /> r--- - - <br /> <br />