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~ ' <br /> ~ Engineering <br /> PROJECT A THORIZATION FORM Pubfic works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> ervice ID: SID PB ~ GL ? JC JE <br /> j roject title: ~ ~ ~ <br /> ! bn a work escriptionJ I <br /> <br /> i j I~roject manager / c ntact /private engineer: <br /> i <br /> PROJECT SC E: <br /> I f Paving: ~ ~ Bike lanes /paths: <br /> ~ /wia7hsJ (width) <br /> Concrete walks: Setback /Curbside <br /> it f ¢~(~ng1hJ (wioYhl / <br /> ~ Wastewater o Stormwater I ~ Landscaping <br /> ~ t <br /> Signal Street lights ROW required <br /> ~ New building c struction Planning, other Remodel I <br /> ~ FUNDING SOU CES: <br /> j ~ ' City Assessments Private Other department <br /> j Account code <br /> Fed /State / Co my /FAA fixed) <br /> 1 I <br /> r a OMMENTS / SP IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> { <br /> ~ i 1 <br /> I. <br /> S ! <br /> I j <br /> I [ • 1 <br /> ' t <br /> ` I APPROVED: i <br /> ~ ~ Project Manag r Date ~ <br /> ~ ! Principal Engi er Date z~S~ <br /> ~ d~ <br /> ! Facilities Man er ' Date <br /> ~ ~ City Engineer ~1''~ % Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ' Capital Project No. <br /> GL Title <br /> C <br /> Assigned by jam' Date <br /> j <br /> ! Accounting by z Date <br /> I <br /> i <br /> ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> 1 <br /> ` City Engineer's nitiating Order ~ Public Improvement Permit Application ? Map <br /> 'I % ? Request for Sc ping Meeting <br /> R <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />