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4 i <br /> ~ ~ OJECT AUTHORIZATION FORM Pubic Wor <br /> s <br /> i <br /> City of Eugene i <br /> v~ • 244 E. Broadway <br /> ' r Eugene, OR 97401 <br /> ~ / ,n ~ (541) 682-5560 <br /> !S~rvice ID: SID" PB GL ~ JC JE <br /> PMOject tiller ~~~~.~"l-~ <br /> ~~~.-L-T~~~..~~ <br /> (/ocalion arx/ work description) <br /> Project manager /contact /private engineer: ~TD_ /1..~'t, O ~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widths) ~ (width) <br /> Concrete walks: ~ etbac /Curbside <br /> ' ~ tl l (/engfhJ /width) <br /> t Wdstewater (x~ Stormwater Landscaping <br /> ~ I Signal Street lights ROW required <br /> I <br /> r New building construction Planning, other Remodel <br /> i FWNDING SOURCES. <br /> Ciky Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> r <br /> APPROVED: <br /> I?roject Manager ~ Date S <br /> I ~'rincipal Engineer Date 3 <br /> Facilities Manager Date <br /> I ~ Date ~~/-t/~ <br /> ~ City Engineer ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ I J~ ACK ~35r ~D xIC X SC ~ ~ <br /> <br /> ~ I L <br /> GL Title ~ L <br /> ) <br /> t~ d ~ (7s L ~~~.-Tt--~ <br /> Assigned b Date ~J <br /> Accounting Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? 9eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~'Frlgineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order [/Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ,y,~-~- ~ ~ ~ T <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK l Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />