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i <br /> r _ , ~ ~ <br /> j f,,.,t~,. ~ <br /> w <br /> p~. PROJECT AUTHORIZATION FORM ~ ~ ~ Engineering j <br /> ~ Public Works ~ <br /> City of Eugene <br /> i , 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ (541)682-5560 <br /> ~ Service ID: SID PB"~~ GL `~JC JE ~ <br /> i <br /> ~4 ~ <br /> ~ Project title: <br /> i (location ano' work descriplionJ <br /> I <br /> <br /> ~ Project manager / contact /private engineer: ~i~/rl'~~14 <br /> <br /> I <br /> <br /> i PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> ~ Concrete walks: Setback / urbsi <br /> (/engthJ (widlhJ <br /> Wastewater ~ Stormwater Landscaping <br /> i <br /> ~ Signal Street lights J~ ROW required <br /> New building c nstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> j Account code <br /> ~ , Eed /State / Cdunty /FAA fixed) <br /> ' ` OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> E <br /> 4, <br /> <br /> f ~ <br /> APPROVED: <br /> Project Manag I~r Date ~ <br /> Principal Enginleer Date O <br /> <br /> i ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> <br /> i <br /> <br /> ~I <br /> FOR USE BY ADMINISTRATION ONLY <br /> j 3~~1~~c~ c~ j <br /> Capital Project No. ACK ~ ~ 35j C~Xxxx 3~Y <br /> GL Title <br /> f l <br /> Assigne by Date ~b~~~ <br /> Accountin Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet f~Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order [~!pPublic Improvement Permit Application ? Map <br /> Request for Scoping Meeting ~ ~ ~ J <br /> NG 415 WHITE /Finance YELLOW / Administration(_F,iIJe (PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> ~ ~ <br /> I <br /> <br />