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r~.! <br /> ~ ~ <br /> ~~ROJE~T AUTHORIZATION FORM ~ ~5~~ ~ Engineering t <br /> Public Works <br /> } City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Q ' / - / ? (541)682-5560 <br /> Service ID: SID V PB" GL JC JE <br /> Project title: U ~ m I ~S <br /> (location and woi/r descnptionJ <br /> Project manager contact /private engineer: ~G <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> _ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Z3oo ~ Stormwater - Landscaping <br /> <br /> ~ Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: X ~ <br /> City 33'`! '~r""6' Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> /~v CS N// 1 /I t~ C ~ E J-S' GtJ tJ /r.+ <br /> 'r</4 ~C=c~ TAG M f" SC~?1 Vi'~ !~i' a S' t~ <br /> ~S ~5 g <br /> APPROVED: ~ <br /> Project Manager Date Z~ <br /> Principal Engineer Date i j a" <br /> Facilities Manager Date <br /> City Engineer ~s-_ ~ Date/~f <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned y Date ~ ~ <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~-SDC Budget Worksheet ? Engineering Agreement ? Engine ring Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ,~`C ~I~ /~~C-~ ,tLt ~Nj:~~ <br /> ,RequLest for Scoping Meeting g~ /Y ~ <br /> - N01 {Qt 7~i~S {7'r~' ' e`}~/~E ~ ~C'f ~i?tS~ ~i+-~ c .s ~ i. <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK / E e~ Fill G`9~ENROD /Project Mana~e~. ' ?6/L fY2004 <br /> - - r .n , , <br /> <br />