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~ ~ <br /> x `j <br /> ~ i `PRO.~ECT AUTHORIZATION FORM Engineering <br /> j ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> II . / (541) 682-5560 <br /> Service ID: ! ~ /~~~I SID PB TL ~C ~'JE <br /> ~ Project title: ~(!yK- Tr"'~` t ~ n V Lt <br /> (/ovation and ork description) _ . <br /> ` / <br /> j Project manager /contact /private engineer: <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> ~ (widlhs/ (widlhl <br /> i Concrete walks: Setback /Curbside <br /> 1/ rren9~a~ (~fdrn~ <br /> <br /> I Wastewater Stormwater ~ Landscaping <br /> 6ignal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> f <br /> <br /> I I <br /> ~ FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> lied /State /County /FAA fixed) <br /> r! <br /> CO MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~i: <br /> R <br /> 9 f~ I <br /> `t~-~ <br /> ~ <br /> -i <br /> ' APPROVED: <br /> <br /> ~ ~ Project Manager ~ Date 2 <br /> I <br /> ' Principal Engineer Date 2 5 <br /> i <br /> ;Facilities Manager Date <br /> ;City Engineer ~ Date <br /> ~ . <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> I <br /> ';Capital Project No. ~ ~ 7 '7 - / / ACK S~ J) S~ ~~'K~ ~ / / ` / <br /> GL Title ~ I Y ~ V 1 ~ <br /> ~ Assigne by Date <br /> i <br /> i Accounti y Date <br /> ATTACHMENTS: <br /> i <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Cy~Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order C~ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />