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. -.k.,:. w,. <br /> , r <br /> FF / L ~ I <br /> I` r Engineering <br /> I~RbJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> i ~ (541) 682-5560 <br /> $ervit;e ID: / ~ SID PB ~ GL JC JE <br /> I?roject title: _~~~~1~, Lf r,~d- 1L-. C ~=Pd _ f ~~.f,~,L~`Pit/~ 7 ~~/1.~1 ~'7 <br /> (/ocalion and work descnplion) ~ <br /> ii <br /> i <br /> F~roject manager /contact /private engineer: i°if/ ~ ~ Ka" <br /> j <br /> I PROJECT SCOPE: <br /> I, <br /> P vin Bike lanes /paths: i <br /> I ~ g' (widlhsJ (widlhJ <br /> t:.~oncrete walks: Setback /Curbside <br /> ~f (/englhJ (widlhJ <br /> ! Wastewater ~ Stormwater Landscaping <br /> i Signal Street lights ROW required <br /> j <br /> I~ew building construction Planning, other Remodel ~ <br /> FUNDING SOURCES: <br /> i ; <br /> 'City Assessments Private ~ Other department <br /> ' Account code <br /> ~ I <br /> Fed J State / bounty /FAA fixed) <br /> ON~MENTS / SPECI/~?L PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> ~i <br /> , <br /> s r,' <br /> i <br /> <br /> ;~,'~,r <br /> ~?P~ROV~D: l <br /> Project Manager Date <br /> Principal Engineer Date Z-- <br /> Facilities Manager Date / <br /> City Engineer ~ Date ~l C U ~ <br /> I I <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. ~~-1-/ ACK ~x'~~` J~~~`/ G <br /> ~ GL Title i d~~h ~5 ~ '+'L <br /> .2 <br /> ~ssigned y Date <br /> accounting y Date <br /> 1 <br /> ATTACHMENTS: ~ <br /> ? Budget Estimate ? veloper Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ / <br /> ~q <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK / ngineering File GOLDENROD /Project Manager ?UL Y2004 <br /> J <br /> <br />