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„ . .,g <br /> h ~a, <br /> r ~ ~ ' ~ <br /> v a lam- ~ ~ <br /> <br /> ~ ~ ?f <br /> / Engineering 1 <br /> 1 -ROJE~T A~JTHORIZATION FORM ~ Public Works <br /> <br /> I~ I~ City of Eugene <br /> 244 E. Broadway <br /> ~ i Eugene, OR 97401 <br /> ~ ~ 541)682-5560 <br /> SID ? PB GL ~ JC ~JE <br /> Service ID: <br /> Projact title: <br /> (location aipd work descnptionJ <br /> ~ i <br /> ~'roject manager / cpn act /private engineer: ` <br /> i <br /> i <br /> PROJECT SCOPE: ~^7 ~ <br /> j Paving: li y/ Bike lanes /paths: <br /> h (widlhJ <br /> (wroY s) <br /> i <br /> oncrete walksa etbac /Curbside <br /> C <br /> wrd/h <br /> n /h ( l <br /> (/e 9 I / <br /> Landsca in <br /> Stormwater ~a p 9 <br /> R <br /> Wastewater <br /> ~ i <br /> Signal Street lights 1/ ROW required I <br /> New building cohstruction Planning, other Remodel <br /> FUNDING SOU~tCES: <br /> City Assessments Private Other department <br /> Account code <br /> fixed i <br /> Fed /State /County /FAA j ~ <br /> ~I ~OMMENTS / SPE~IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> ~k ! I <br /> . <br /> E ~ h?PPROVED: <br /> project Manager Date <br /> Principal Engineer Date i <br /> Facilities Manager Date ~ <br /> City Engineer ~ ~ Date ~ '~,w l I <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> I ~ t / / ~ ~ 3 I x ~'7 ~~~/S~ <br /> r 'ectlNo. 1 `7 ACK (11 ~ 5 /~X ~ <br /> Capital P of <br /> ~ ~ <br /> ~L Title <br /> ` - Z <br /> i <br /> I <br /> Date <br /> Asslgne by <br /> Accounting by' ~ Date <br /> i <br /> i~ ATTACHMENTS: f <br /> Budget Estimatt~ ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> i SDC Budget Wgrksheet C~ggineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scgping Meeting ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File I.P•I~N~`--K~J/IIEJJngineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />