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I -~7 s v m <br /> ROJECT AUTHORIZATION FORM C ~ Engineering <br /> Public Works <br /> _ u, City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 1 <br /> C (541) 682-5560 <br /> Service ID: SID ~ PB ~ GL ~ JC ~ JE 55 j <br /> Projecf title: <br /> (/ocali n an walk desc, ptionJ w <br /> ~ Project manager /contact /private gineer: 1' <br /> PROJECT SCOPE: ~ i <br /> Paving: ~ ~ ~ ~ Bike lanes /paths: <br /> (wrdlhsJ /widfhJ ~ <br /> Concrete walks: Setback /Curbside ~ <br /> (/en91hl (widlhJ I <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> <br /> If New building construction Planning, other Remodel ~ <br /> FUNDING SOURCES: ~ ~ i.~ K I ~ 3 ~U~1 ~ <br /> i <br /> <br /> ~ City Assessments Private Other department j <br /> o , <br /> ~ ~ ~ Account code <br /> Fed /State /County /FAA a <br /> ( /o, fixed) ~ <br /> COMMENTS /SPECIAL PROJECT INFO. / IN " R EPARTMENTAL WORK DESCRIPTI N: <br /> 4 i <br /> l <br /> i <br /> i <br /> APPROVED: , i <br /> P.rbject Marrager` ~ Date ~ /s <br /> Principal Engineer. Date <br /> Facili#i'es Man~gdr Date ~ <br /> City Engineer ~--'z"~" Date t~ <br /> i <br /> i <br /> Q FORc~ USE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. ` ~ ~ ~ D~ ACK ~ Ci 33 ~ ~c x xX X q (~Sy ~ <br /> 1~~ <br /> GL Title r ~P ~Q~~1 ~UY~ ~ <br /> Assigned y Date <br /> I <br /> i <br /> Accounting by Date ~ <br /> I <br /> ATTACHMENTS: I <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 i <br /> i <br /> ~CJ n ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />