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. , <br /> ~ ~ ~ <br /> i <br /> PROJECT AU~'HORIZATION FORM 5 Vlu-~ I"` Engineering <br /> Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> ' Eugene, OR 97401 <br /> / ? ~ ~ CJ p ~ (541) 682-5560 <br /> Service ID: SID V PB GL JC JE <br /> Project title: <br /> (/acafi nd descnptionJ / + r ~ ' <br /> 11L <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: ~J ~ d ~ Bike lanes /paths: <br /> (widths) (widfhJ <br /> Concrete walks: Setback /Curbside <br /> (/engfhJ (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDIN ~ SOURCES: ~ IG K ~C~ <br /> City Assessments Private Other department <br /> ' ~ Account code <br /> Fed /State /County /FAA fixed) <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. / INTf DEPARTMENTAL WORK DESCRIPTION: <br /> 2 <br /> APPROVE,p: f <br /> Project Ma//[)d~y`pr 1. Date <br /> Principal Engi~er Date <br /> j Facilities Mafiager Date <br /> ' City Engifieer ` ~ f Date <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ J L'~ S ACK ~ ~ 3 "t ~3 ~kX ~ X G ~ S ~'S-i <br /> IMP t~ PC~~"~GrSal - ~ vYC~u~ - ~'~`w. <br /> GL Title <br /> Assigne by Date ~ / ~ <br /> <br /> ' Accounting by Date <br /> 4 <br /> TTACHMENTS: <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 ?UL Y2004 <br /> <br />