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I <br /> f~ C ~ <br /> S L~ ~ ~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> <br /> ~Ilr.° 244 E. Broadway <br /> Eugene, OR 97401 <br /> t , / (541) 662-5560 <br /> Service ID: ~ ~ 9 "1 SIDJ~ PB V GL ~ JC~ JE <br /> ICJ <br /> Project title: ~ ~ + ~ <br /> (/oca/ion and work descriplioy <br /> Project manager /contact /private engineer: ~ E/1-? N + ~ ~ +n-? S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (mod/~ <br /> (wioYhs) <br /> Concrete walks: Setback /Curbside <br /> r/B~M~ rte"^~ <br /> Wastewater Stormwater ; Landscaping <br /> ? <br /> Signal Street lights / .ROW required <br /> New building construction Planning, other ~ Remodel <br /> 1 <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 /> d""";. <br /> fir,,,, ~r Aa/~~ ESE~2.~/t S 23,~OCa i~U~,."i~LA;'~ ~ ~~~ticA'r1C)til <br /> oor~ NSF ("~o,~,~A--~-„4/~ <br /> APPROVED: ~ ~ ~ t ~ <br /> Project Manager Date-~ / <br /> Principal Engineer ~ Date <br /> - )p~{ Manage +-d~t.~'' Date z- " 9 ~ 0 <br /> City Engineer ~ ~ Date ~ `f <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project/No. ~ ~ ~ - ACK ~ ~ q J'~',~~ ~ ~ xsC X K - ~ (l' ~ iY ~ <br /> GL Title r T'" t Y`~ GCY ~ X C~YI I L~ ~ - <br /> r i ~ C._._... l <br /> Assigned by~ Date ~ y <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget 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 1 Engineering File GOLDENROD /Project Manager JULY2004 <br /> <br />