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i d <br /> I <br /> - - V <br /> ..j ~ p~'-~'~~''\ Engineering <br /> ' pR4JECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> 1 ~ ~ ~ / Eugene, OR 97401 ~ <br /> / ~ J (541)682-5560 j <br /> Siervice ID: t/7 SID PB ~ GL JC JE <br /> ProjeOt title: ~ 4 ' <br /> (loc ion and wQdr descdptionJ <br /> ' ~iU'/ <br /> P~rojeCt manager /contact /private engineer: ~ j <br /> ' i PROJECT SCOPE: <br /> Q ~ <br /> ' Ptaving: 7 n Bike lanes /paths: widlhJ <br /> (wrdlhsJ ( <br /> Concrete walks: Setback / urbsi <br /> (/englhJ /widlhJ ~ <br /> Wastewater Stormwater ~ Landscaping <br /> Signal Street lights ROW required <br /> I <br /> ' New building construction Planning, other Remodel <br /> ~ FUNDING SOURCES: <br /> ' City Assessments Private Other department <br /> I <br /> Account code <br /> { Fed /State /County /FAA fixed) <br /> OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> i <br /> :r <br /> ~ (APPROVED: <br /> Project Manager i`~-~ Date ~ <br /> Principal Engineer Date <br /> ' k Facilities Manager Date <br /> j <br /> City Engineer Date ~ l ~ ~U_~ <br /> j <br /> J ~ Y~, <br /> FOR USE BY ADMINISTRATION ONLY <br /> i 2 r'7 <br /> ;Capital Project No. J I ~ ACK ~3' 9 35~ ~xX~c~c ~ 7~-1 ~Jl~~~ <br /> GL Title ~ "~du'1 ~ (v j 5 ~ U n <br /> ,Assigned y Date <br /> r <br /> Date <br /> I Accounting by <br /> h <br /> j <br /> <br /> j ATTACHMENTS: <br /> ? Budget Estimate ~Developer Agreement ? Engineer's Report On Improvement Petition <br /> ' ? SDC Budget Worksheet Lld'Engineering Agreement ? Engineering Service Work Request <br /> + ? City Engineer's Initiating Order ? Public 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 /> i, <br /> i <br /> <br />