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_ ~ - <br /> i fr - <br /> ~ <br /> -'fis.. <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> t City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~I Service !D: / ~ ~ ? (541) 682-5560 <br /> SID PB GL ~ JC~ JE <br /> Project title: /'r <br /> (/ocati and wo~kdescription) <br /> ~ Project manager contac private engineer: ~ j/t Q/K~,,. <br /> PROJECTS PE: <br /> Pavin /l~,~' ~ <br /> g• rwiorhs~ Bike lanes /paths: <br /> (widlhJ <br /> Concrete walk : Setback ur de <br /> ~H (/engthl /widJhj ,,y > ~ <br /> Wastewater Stormwater 'Ll..- Landscaping <br /> Signal Street lights _ f~,6 ROW required <br /> New building c nstruction Plannin ,other <br /> g Remodel <br /> FUNDING SO RCES: J <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / C my /FAA fixed) <br /> { <br /> ~OMMENTS ! SPE IAL PROJECT INFO, t INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r. <br /> ~i, <br /> i <br /> f <br /> I <br /> APPROVED: i <br /> <br /> ~ Project Manage Date ~ I <br /> Principal Engin r Date ~ <br /> Facilities Mana r Date <br /> City Engineer - Date 7~/0 ` <br /> -7 <br /> i <br /> - FOR USE BY ADMINISTRATION ONLY <br /> Ca ital Project N ~ / 7 5 ~l jp ~(,Y'X ~~c - ~~rj I <br /> P 1 ACK ~3~'°93 5! " <br /> ~ GL Title N .C . _ ~,l,,,"" <br /> Assigned by ~ Date ~ / ~ U <br /> i <br /> i' <br /> Accounting by Date ~ <br /> A TACHMENTS: <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 Initi ting Order ~-Public Improvement Permit Application ? Map <br /> ? Request for Scopin Meeting <br /> ENG 415 W ITE /Finance YELLOW !Administration Fi{e PINK 1 Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />