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u ~ („~~'(,,y Engineering <br /> ROJEC AUTHORIZATION FORM 1`^ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> i ID: y ~ ~ 3 SID ~PB V GL _ JC JE <br /> Serv ce <br /> Project title: G ^ /v "}e---~ G Q- ~'2- SoJ'11"~ ~UN~ <br /> (/ocetion a w desciip J <br /> Project manager /contact /private engineer: E21 N 1 k4 ?nl 5 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (wid/hJ <br /> ongretg w~lks: Setback /Curbside <br /> ,~j L~.f~} ! length/ nn (widlhJ <br /> astewa er ~ K "1' Stormwater Landscaping <br /> ° <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City (~is Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Ww SSG. Fuly~ 33y 9L51(,5' ~ C~g9_~o <br /> r k7n~ ~ [ r ~ ~ ~ (7r1 <br /> i'w o r d <br /> APPROVED: ' <br /> Project Manager Date ~ ' ~ <br /> Principal Engineer Date ~ ~ ~0' <br /> Facilities Manager Date <br /> City Engineer 'r - ~ Date ~ S'- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ACK ~3y " q 332 • (.O~CXJt fc ~1(1`JI ~j! ~J <br /> GL Title ~ I....e.~a-~ SI'1~ P,..~L~ t~'~'.~{" SQ ~1'1 c <br /> Assigned b Date ' Z~ 01 V <br /> Accounting by Date <br /> r <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />