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( ro <br /> ~ <br /> PROJECT`AUTHORIZATION FORM T! ' Engineering <br /> Public Works <br /> i <br /> City of Eugene <br /> , 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> ,J <br /> ~ Service ID: ~ SID PB ~L GL JC ~ JE <br /> Project title: ~~~~Z° <br /> (/oca ion ano' y <br /> ork description <br /> i <br /> j Project manager /contact /private engineer: ~ „ <br /> I <br /> ' PROJECT SCOPE: <br /> f "'0 ~ / <br /> jPaving: Bike lanes /paths: <br /> ~ rdlhsJ / ~ (widlhJ <br /> ~ ;Concrete walks: etbac /Curbside <br /> (IenglhJ wro7hJ / + <br /> ~1Nastewater x Stormwater ~ ~ Landscaping <br /> Signal Street lights ~ ROW required <br /> New building construction Planning, other Remodel <br /> i <br /> j FUNDING SOURCES: <br /> ~ City Assessments Private Other department <br /> Account code <br /> fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i. <br /> 'APPROVED: <br /> '.Project Manager Date <br /> ''Principal Engineer Date <br /> 'Facilities Manager Date <br /> City Engineer Date 1 ~ ~ ~ ~ ~ <br /> i <br /> FOR USE BYE ADMINISTRATION ONLY <br /> f i ran, jit C, <br /> I ~ Capital Project No. r `f ACK ~L'3 j 9?,.SI L~wCXX 3 r1 y ~y ~t <br /> !GL Title ~'S-}~,-~t S <br /> <br /> ~ Assigned y Date I <br /> I <br /> 'Accounting by Date <br /> ATtACHMENTS: ' <br /> a &udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet rneering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order L1d'Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ Q <br /> L ~ <br /> j ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> I <br /> <br />