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v\ ~ F /AI a ' <br /> ~ ~ <br /> ~ ~ <br /> ' N'~~iOJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> -i <br /> City of Eugene <br /> ~ ~ 244 E. Broadway <br /> fit' <br /> j~/ ~ ~ Eugene, OR 97401 <br /> Service ID: b SID PB GL JC JE (541) 682-5560 <br /> i <br /> Project title: / ~1~-r~1,~~~}y <br /> //ocalion ate' ~york descnplionJ r~ <br /> ~ ij Project manager /contact /private engineer: J <br /> i <br /> PROJECT SCOPE: t <br /> Paving: Bike lanes /paths: <br /> /widlhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> t I (/englhl (wioYhJ <br /> Wastewater Stormwater ~ Landscaping <br /> ! Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> i <br /> FUNDING SOURCES: <br /> pity Assessments Private Y Other department <br /> Account code <br /> Fed/ State rCounty /FAA fixed) <br /> IICO, MENT <br /> ~~I ~ S /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 4 . <br /> m~ I <br /> ~~1~ <br /> <br /> yy;,. <br /> t <br /> '~n. <br /> r~ <br /> a' <br /> ~ ' APPROVII?t~: <br /> ~ Project Manager Date ~ <br /> Principal Engineer Date Z <br /> 'Facilities Manager Date <br /> pity Engineer ~ ~ - Date ~ Z rl f 4 <br /> FOR USE BY ADMINISTRATION ONLY <br /> iCapital Project No. ~ ~ ~ ACK 3~ - ! ~ `f <br /> GL Title ~'~",C"' CL-~ ~ ~ ~ ~n <br /> jAssi ned b U <br /> 9 Date <br /> Accounting by ~ Date <br /> I 'I~',ATTACHMENTS: <br /> I ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SpC Budget Worksheet C~,rtagineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order [ ublic Improvement Permit Application ? Map <br /> Rbquest for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW //"Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />