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<br /> i <br /> PROJECT AUTHORIZATION FORM r Engineering <br /> V ~r Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ' f / ~ / / Eugene, OR 97401 <br /> SerVic~~ID: 4 3 5~ VJ .V/ ? (541) 682-5560 <br /> A SID QQ PB ii GL _ JC JE <br /> Project title: J3 ~ E G? rAI~T7'OXi AN E STD Q W1 <br /> (/ovation anv' work descnptionJ <br /> Project manager /contact /private engineer: T~/L 1 ) ~ G ~ N s <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths/ /wid/hJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (wrdlh) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~~i ~ s~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ e APPROVED: <br /> Project Manager ~ Date ~3-~~ <br /> P,~i_n ip Engjneer Date ~ ~ ' ~ <br /> M ~M~anager t-~rt'`""'..~ Date ~ ~j <br /> City Engineer ~ ~ - Date 7 U G <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. sJ~- 933y- 96s'Z Z 3 ACK 5 I ~ 1 ~ L+ ~ ~ n XX ` ~ ~ ~ <br /> GL Title <br /> Assigr~d <br /> by . ` ~ , Q' Date + + L ~ V <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 /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> I <br /> <br />