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p _ V { <br /> TI' ! y / <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ? (541) 682-5560 <br /> Service !D: ! 1! SID PB V GL ~ JC JE <br /> Project title: ~b~~__i~~_-~ <br /> iron and work descdptionJ <br /> ,Project manager / co ct /private engineer: <br /> PROJECT SCOPE: ~ <br /> Paving: ~ / Bike lanes /paths: <br /> /widlhsJ (width) <br /> Concrete walks: S~/ Curbside <br /> (/engthl /~idthJ <br /> j Wastewater ~ Stormwater ~ Landscaping <br /> I~ Signal Street lights ROW required <br /> ! ; New building construction Planning, other Remodel <br /> h' I <br /> FUNDING SOURCES: ~ <br /> 'I~ 4 <br /> City Assessments Private Other department <br /> Account code I <br /> Fed /State /County /FAA fixed) <br /> ~'+OMMENTS !SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> p <br /> p I <br /> F I <br /> y <br /> f;°" <br /> , APPROVED: ~ ~ ~ <br /> <br /> ~ <br /> V Project Manager ~ ~---r ~ Date ~ <br /> Principal Enginee Date <br /> i <br /> Facilities Manager Date j <br /> I'i City Engineer Date ~//G y ~ I <br /> I <br /> ' FOR USE BY ADMINISTRATION ONLY I <br /> Capital Project No. ~ ~ <br /> "~~'-f Y ~ U ACK L.~ JS~ C.U~j~JC '7 `y " ' i <br /> GL Title ~ ~ r r I <br /> o <br /> Assigne by Date <br /> Accounting y Date j <br /> f <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ~F,ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> a Request for Scoping Meeting <br /> ~ <br /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager• ?UL Y2004 j <br /> <br />