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.a ~ u <br /> r <br /> IA C-- Engineering <br /> -OJECT AUTHORIZATION FORM s I Public Works <br /> City of Eugene i <br /> /L. 244 E. Broadway <br /> / ~ ~ Eugene, OR 97401 j <br /> (541) 682-5560 I. <br /> Service ID: SID ~ PB" GL JC J~ <br /> Project title: ` r 7 <br /> potation and woiAr descdptionJ~~ C A C ~ ' ' V ! aV ~ ~ ~ lJ C <br /> Project manager /contact !private engineer: ~ ' ~ <br /> PROJECT SCOPE: ~ ~ <br /> Paving: ~ ~ ~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> i <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> I <br /> I 0 K - t 33 ~ <br /> FUNDING SOURCES: <br /> <br /> li, City X Assessments Private Other department <br /> <br /> ~ Account code <br /> Fed /State /County /FAA fixed) <br /> !COMMENTS /SPECIAL PROJECT INFO. ERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> { i <br /> <br /> ~ 'y 1 <br /> <br /> ~ x~ 0. ~ <br /> I <br /> =d. <br /> i <br /> 1 <br /> APPROVED: <br /> Project Mana§er Date <br /> Principal Engineer Date " ~ j <br /> i Facilities Ma~iger Date <br /> ~ City Engineer-~-_ = Date <br /> I i <br /> ' I <br /> FOR USE BY ADMINISTRATION ONLY <br /> ''11 i <br /> Capital Project No.. ~ ~S "'t2~ ( (,~c~C 13 ~ - G 3 3 Z - (v X x x X - ~ SLI Zy ` <br /> GL Title ~ r th ' ~j`+-h <br /> g/~~/os ~ <br /> ~ Assigne y Date <br /> ' Accounting byr Date <br /> ~ ATTACHMENTS: ~ <br /> I <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> I ? City Engineer's Initiating Order ? Public Improvement Permit Application ~I Map <br /> ? Request for Sr~oping Meeting <br /> c~ ~~G 415 WHITE !Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y20P4 <br /> ~f" . <br /> - J <br /> <br />