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III r _ ,n <br /> r : ~ n~ , <br /> ~ Engineering <br /> ' ~~O.JECT AUTHORIZATION FORM Public Works <br /> City of Eugene ~ <br /> 244 E. Broadway <br /> Eugene, OR 97401 j <br /> ~ ~ 1 / ' / i`~ (541) 682-5560 ~ <br /> ~ekvice ID: SID PB GL JC r JE ~ I <br /> ~rmject title: ~i'~ ~r-vin C iM ~ d'Y~ - <br /> (/ovation and work d sc~iptionJ ~ <br /> ~ /,/.f/!/h DJ+ / / ~/Q `f'~i ,~L~L/L.1L~i~c ~ ~ ~~j9.ffi ~i),,,,i <br /> '~,Pr{pjecl manager /contact /private engineer: <br /> PROJECT SCOPE: ~ <br /> 21 <br /> Pavin Bike lanes /paths: <br /> g' (widths) (wioYh/ <br /> Setback /Curbside 1 <br /> ~ V' Concrete walks: width ~ I <br /> (/engml ( / I/ <br /> Wastewater ~ Stormwater Landscaping <br /> 'I Signal Street lights /~.t~ ROW required <br /> ~I^ New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> ~ je,' ~ ~ Fed`/State~;:~Eounty /FAA fixed) <br /> , <br /> ` ~t{.;~ i COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> £ ~~':k~ p <br /> <br /> I I ~ <br /> 4 ~ ~ ~ f <br /> <br /> II' t <br /> <br /> {fir J. <br /> fia~~ , i ~ <br /> APPROVED: + <br /> I~ Project Manager ~ Date , t U <br /> principal Engineer Date <br /> i <br /> pacilities Manager Date ~ ~ <br /> II <br /> Clty Engineer ~ Date l/ ~ <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. T? ~ ACK t~~ ~x'~'~~ ~ ~~~s <br /> GL Title J ~ <br /> Assigned y Date <br /> ' Accounting Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~gineering Agreement ? Engineering Service Work Request <br /> ~ City Engineer's Initiating Order [public Improvement Permit Application ? Map <br /> Request for Scoping Meeting ~ ~ O `y~f 1(j~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File P'I`N-K~/ Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />