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SU m <br /> ti Engineering <br /> `v PROJECT AUTHORIZATION FORM m ~ S _ _ Pubfio works ~ <br /> 244 Ef Br <br /> adway <br /> Eugene, OR 97401 <br /> (541) 682-5560 11 <br /> Service ID: SID PB GL JC JE <br /> Project title: <br /> alio wodyq/scnpli • <br /> ~C\ u u i <br /> Project manager /contact /private engineer: S <br /> PROJECT SCOPE,• <br /> Paving: ~ 6 Bike lanes /paths: <br /> <br /> i (wrdlhs/ /widfhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthl /widlhJ <br /> ~ Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel M <br /> I <br /> FUNDIN SOURCES: u ~ - ~ 3 <br /> City Assessments Private Other department <br /> Account code l <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: G <br /> Project Manager Date 2 ro I' <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ qto 55~1~1 133- 8332- bxxxX-~6554'~ <br /> Capital Project No. ( ACK <br /> GL Title ~ ~ ~l~t~l,1 <br /> Date ~ ~ ~ Q~ <br /> Assigned by <br /> I Accounting by Date <br /> i <br /> ATTACHMENTS: <br /> i ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> j ? City Engineer's Initiating Order ? Public Improvement Permit Application ~ Map <br /> ~I ? Request for Scoping Meeting <br /> ENG 415 WHITE 1 Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />