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<br /> i S ~ i; <br /> <br /> I ~ <br /> ~ t t <br /> ..i:- <br /> i ~ <br /> r PROJECT UTHORIZATION FORM ~ Engineering <br /> L-,~. Public Works <br /> _ "T ~ l City of Eugene j <br /> 244 E. Broadway <br /> e Eugene, OR 97401 <br /> ? / `1(~ (541) 682-5560 <br /> <br /> ~ Service ID: dJ SID `"APB GL ? JC JE ~ i <br /> Project title: ~ <br /> (location nd.wndr desc~iplioy ~ <br /> ~ <br /> <br /> I Project manager / on ct /private engineer: <br /> <br /> I <br /> I <br /> PROJECT SC PE: ~ ~ <br /> <br /> j Paving: ~ Bike lanes /paths: <br /> (widlhsJ /widfhJ <br /> Concrete walk : Setback Curbside <br /> <br /> I (/englhJ (wi h f~ <br /> Wastewater ~ I Stormwater Landscaping <br /> i <br /> ~ Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel ~ <br /> <br /> ! FUNDING SO RCES: , <br /> <br /> ~ City Assessments Private V Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~ i;.. <br /> i. <br /> i <br /> APPROVED: <br /> Project Manag r ~ Date ~ 2 _ u~ <br /> Principal Engin er ~ Date 2 <br /> Facilities Man er ~ Date <br /> City Engineer ~ n ~ I Date ~ ~b1 <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. ? J t-I ACK ~ <br /> G~~ <br /> ~PXX-~`~'/ <br /> r cr~1~ I I ~T-e 1 v ~ r~fi rIC.- PEA! <br /> <br /> r GL Title <br /> Assigned Date ~ z <br /> <br /> I <br /> <br /> i <br /> <br /> j Accounting by Date <br /> <br /> I ~ <br /> ATTACHMENTS: i ~ ~ ~ ~T~ <br /> Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's I itiating Order Public Improvement Permit Application ? Map <br /> I Request for Sco ing Meeting <br /> ~ i <br /> NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />