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! ~ 1 ' / _ <br /> I <br /> <br /> E . <br /> PROJECT UTHORIZATION FORM Engineering , <br /> Public Works <br /> I <br /> City of Eugene <br /> I, <br /> i 244 E. Broadway <br /> Eugene, OR 97401 <br /> 7 (541) 682-5560 ~ <br /> ervice ID: ~dJ SIDL~PB GL ~JC ~JEN~ <br /> roject title: - j <br /> (/ocalion nd rk sciiption) I <br /> i <br /> ; ~ <br /> ~ Project manager / c~ontac /private engineer: ~n-~,,•(/ 1~t~.~l~I l'~ <br /> PROJECT SC~PE: ~ `P _ J <br /> Paving: Bike lanes /paths: <br /> (wid/hsJ (widlhJ i <br /> Concrete walks etbac /Curbside ~ <br /> (/eng/hl (widlhJ ~ <br /> Wastewater Stormwater ~ Landscaping <br /> Signal Street lights ~/LU ROW required <br /> New building c nstruction Planning, other Remodel ~ <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> i <br /> I~ Account code <br /> b~.. ~ Fed /State / C unty /FAA fixed) <br /> ~ OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> ! 9~~ <br /> t• <br /> x ` ~ I <br /> E <br /> I ~ i <br /> ~ s i <br /> I <br /> APPROY~D: <br /> f Z~- U1 <br /> Project Manag r Date <br /> Principal Engi eer Date ~o ~ 22.1 O"~- <br /> Facilities Man ger Date <br /> City Engineer ~ ~ Date ~ ~ 07 <br /> FOR USE BY ADMINISTRATION ONLY <br /> n 22 G / ~ y- O <br /> Capital Project No. ~ IU~J ACK t!/xx'+c~ 3 /y5 3 <br /> i <br /> j GL Title <br /> I ~ <br /> ~ Assigne by ~ - Date ~ d <br /> Accounting y, Date <br /> i <br /> ATTACHMENTS: <br /> / <br /> ? Budget Estimate D~ veloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> ? Request for Scdping Meeting <br /> i <br /> i NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> - -1 <br /> <br />