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E <br /> <br /> . ~ PROJECT AUTHORIZATION FORM t~a~~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> 1 ~ (541) 682-5560 <br /> Service ID: ~-T_ ~ SID~PB ,L^ GL ~JC ~JE~ <br /> Project title: ~ ~ 7 <br /> (locati nd work description <br /> ~i <br /> Project manager !contact !private engineer: <br /> ~ROJECT SCOPE: ! <br /> i <br /> Laving: Bike lanes /paths: <br /> it (widths) (wioYhJ <br /> t Concrete walks: Setback /Curbside <br /> ~ <br /> j (length) (wioYh) <br /> Wastewater ~ / Stormwater Landscaping <br /> ' Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City) Assessments Private Other department <br /> Account code <br /> 1 Fed! State 1 County I FAA (°lo, fixed) <br /> f}~O' MINTS !SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> ' WPPFIOVED: <br /> Date Z' ~ <br /> Plroje~t Manager Z <br /> Ptincipat Engineer Date <br /> Date <br /> F~cilitirs Manager ~ Date ' ' ~ G <br /> i y Engineer <br /> FOR USE BY ADMINISTRATION ONLY 4'iw~ <br /> y~~ G.~_________---- ACK KtiC fit/ <br /> Caipitaf Project No. ~ ! , . \ ~ <br /> vV t,~J , ~z q ~ <br /> taL~Titi~ ~ _ Date <br /> g~ign@d Date <br /> c ounting Y <br /> ? Engineer's Report On Improvement Petition <br /> ATIIA HMENTS~ ? Developer Agreement ? Engineering Service Work Request <br /> ? B d et Estimate ~ gineering Agreement <br /> rovement Permit Application ? Map <br /> 8udgetWorksheet Order ~-10~ `~bl~c Imp JULY20~ <br /> ~ ~ S ~ i~~~s}vitiating ~ <br /> ? It~En9 Meeting File GOLDENROD I Proiect Manager <br /> ? e nest for Scopin9 <br /> ypHiTE t Finance YELLOW t AdministraCwn File PINK t Engineering <br /> <br />