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~ , <br /> sr~~ -z.~ <br /> ~RF~`OJECT AUTHORIZATION FORM M~`~v Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ? Eugene, OR 97401 <br /> Service ID: ~~3 SID ' PB ~~C ~ E X541) 682-5560 <br /> Project title: <br /> I <br /> (/ocetion a ik descnpt' ) <br /> Project manager /contact /private engineer: A~ <br /> i <br /> PROJECT SCOPE: <br /> Paving: ~ ~ , ~ f GJ ~ Bike lanes /paths: <br /> (widlhsf (widlhJ <br /> Concrete walks: Setback /Curbside <br /> i (/englhJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel ! <br /> FUNDING SOURCES: ~ K ~ J ~ i <br /> City X Assessments ~Y, Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> I <br /> I <br /> i <br /> I <br /> ' 1=-„. ~ <br /> APPROVED: ~ ~ <br /> ' Project Manager Date <br /> Principal Engineer Date ~ 2 _ ~ <br /> Facilities Manager Date <br /> i <br /> City Engineer ~ Date ~ ~ ~G)" <br /> ' 1 <br /> FOR USE BY ~DMINL~S`,tRATION ONLY <br /> Capital Project No. ~ ~ ~ 7 ~ ACK 133 ~ 33 ~ X~x X ~~9~JS) y <br /> j GL Title ~ ~ ~ 41/ Zrr'It.t? - l"1 Gov rte w 1 0 ~ ~ <br /> ` i <br /> Assigned y ~ Date ~ 6 S <br /> i <br /> Accounting by Date <br /> j <br /> <br /> i <br /> ATTACHMENTS: <br /> <br /> ~ j~Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request i <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 />