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4, gip., _ ~ ~ ~ <br /> ~ <br /> I?~~OJ,ECT AUTHORIZATION FORM ~ Engineering <br /> _ Public Works <br /> r~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> i <br /> / / (541) 682-5560 <br /> j service ID: SID PB ~ GL JC ~ JE~ <br /> ~Td.•!~' <br /> ~ Rroject title: <br /> i (location and w descnptionJ <br /> i ~l <br /> n~-~--l~t~a~f~~-7--- r-k~ ~~~Q ~P,~- ~i -~~c~~~.~C~.~ <br /> IZ roject manager /contact /private engineer: <br /> .I J PROJECT SCOPE: <br /> 1 <br /> I Pavin <br /> g: Bike lanes /paths: <br /> (widthsf /width/ <br /> Concrete walks: ac /Curbside <br /> (length) (width) <br /> i Wastewater Stormwater Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> t i <br /> I i ~ FUNDING SOURCES: <br /> f ' City Assessments Private Other department <br /> Account code <br /> ff ~ Fed /State /County /FAA fixed) <br /> i~~ i <br /> ` - • COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> j <br /> ~ 1 <br /> i ~ <br /> I, <br /> APPROVED: - <br /> I Project Manager Date 0 <br /> j Principal Engineer Date <br /> Facilities Manager Date <br /> ' City Enginee Date 2, G' <br /> i <br /> i ~ FOR USE BY ADMINISTRATION ONLY <br /> i j Capital Project No. ~1 o ~ ACK ~p ~Z( ` ~ I ~~.xX ~ ~ / <br /> <br /> I <br /> GL Title C-~ r d-t./~ /'~~l'1 C~' ~ <br /> I `i <br /> <br /> j ( Assigne by Date S <br /> Accounting by Date <br /> ~ I <br /> ATTACHMENTS: <br /> Budget Estimate ,Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ~ ? City Engineer's Initiating Order f~Public Improvement Permit Application ? Map <br /> <br /> ~ ' ? Request for Scoping Meeting ~ ~l I~ <br /> <br /> II ~ f Q <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />