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r. <br /> ( =PhtOJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> ~i <br /> City of Eugene <br /> 244 E. Broadway <br /> ~"`I g <br /> Eu ene, OR 97401 <br /> Service ID: ID ? PB ~ GLY JC ~ JE ~ (541) 682-5560 <br /> Project title: <br /> //ocatio and workdescriptionJ <br /> ( <br /> ~ Project manager / conta /private engineer: ~~YL _~'s?JE ~°~f~l,._, <br /> I <br /> PROJECT SC PE: <br /> ' Paving: (widrhsf Bike lanes /paths: <br /> (wid/hJ <br /> Concrete walk : Setback /Curbside <br /> ' (/engthf (width) <br /> Wastewater ~ Stormwater Landscaping <br /> I Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> ( FUNDING SO RCES: ! <br /> City Assessments Private ~ Other department <br /> Account code <br /> _ Fed /State / C unty /FAA fixed) <br /> F, COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,,g <br /> _ <br /> i <br /> j` ~ <br /> + . <br /> APPROVED: ~ <br /> j ~ Project Manag r ~ Date ~ U 7 <br /> i <br /> I Principal Engi eer Date 1 <br /> I <br /> Facilities Man r Date <br /> City Engineer Date `7 2 d~ <br /> -r <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ `{rJ 15 ACK ~ ~ ~ - ~ ~ rJ' 1 (c ~C X X a0 3 7 ~1 / S" <br /> I GL Title ¢ - ~ <br /> I <br /> i Assi ned b ~ ~ <br /> 9 Y ~ Date ..e _ :Q. ~ <br /> <br /> j Accounting by Date <br /> l <br /> 'ATTACHMENTS: <br /> I <br /> 'I ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wo ksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's I itiating Order Public Improvement Permit Application ? Map <br /> [~7 Request for Sco ing Meeting <br /> i <br /> j LNG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> ( <br /> <br />