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<br /> • 1 4 <br /> _ ~ f~ ~ ~,.-~,,._...._--d• ' Engineering <br /> PROJECT AUTHORIZATION FORM ~5~- Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> J"" Eugene, OR 97401 <br /> q i/'/ (541) 682-5560 <br /> Service ID: ~3~ l ~ ! SID__ PB GL JC JE <br /> Project title: SG GI ~ra Lu Vt J ~ ran EA'"~~'d?$/n!~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~V1?v" Ij{~i t~ ~'Pr X S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths/ (widlh) <br /> Concrete walks: _ Setback /Curbside <br /> (length) (widlhJ <br /> Wastewater Stormwater ~j0~ 10'' PRIG 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 /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager__ Date i <br /> Principal Engineer - Date - ~ _ ~ ~ ~ <br /> Facilities Manager Date <br /> City Engineer~r _ Date /~y~- >/y~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ a J f~~~~ ~ ~ k x x Y ! ~ r7~' <br /> GL Title <br /> Assigned by - ~ LIG~-,[.r.~ti" Date ~4 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? 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 /> <br />