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~ is <br /> A~ c_ i <br /> ~ <br /> PR(~JECfi AUTHORIZATION FORM Sl~l.1~ Engineering <br /> Public Works <br /> rA City of Eugene ~ <br /> i ~_1 244 E. Broadway <br /> I ~ Eugene, OR 97401 <br /> f,~ (541) 682-5560 <br /> Service ID: SID PB ~GL v JC ~ JE ~ <br /> I <br /> Project title _ j <br /> (/oca ' work description/ f <br /> I <br /> Project manager /contact /private engineer: .S ' <br /> I <br /> PROJECT SCOPE: <br /> jd p <br /> ~ Paving: TT ~ ~ ~ Bike lanes /paths: <br /> i (wioYhsl /widlhJ <br /> Concrete walks: Setback /Curbside i <br /> (/engthJ /widlhJ <br /> ~ Wastewater Stormwater Landscaping <br /> <br /> j Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: ~ Jl) K ~ J FLT d <br /> City Assessments Private Other department <br /> i <br /> Account code ~ <br /> Fed /State /County /FAA fixed) <br /> { <br /> COMMENTS /SPECIAL PROJECT INFO. / INTE DEPARTMENTAL WORK DESCRIPTI N: ~ ' <br /> fr^ ~ r~ <br /> k <br /> ~ <br /> APPROVEDi <br /> . <br /> Pr>~ect Manager Date <br /> Principal Engineer,. Date ~ i <br /> Facili#ies Mar~gei~ Date <br /> Cify Engineer , Date vr~/6: w~" <br /> FOR USE BY ADMINISTRATION ONLY f <br /> Capital Project No. ~ ~ ~ ~ ~ '~l ~ ~ ~ACK ~ 3 ~ ~J Z (oXX X k 1cl t0 5 `-1 I <br /> I <br /> GL Title r ~ ~ l ~ ~ <br /> Assign d by r Date ~ ~ U <br /> Accounting by Date ~ <br /> I <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 ?UL Y2004 <br /> b ~ <br /> <br />