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~1i1~iS ~ <br /> i <br /> _ ~ <br /> C- <br /> r PJECT AUTHORIZATION FORM ~jv~.i~l Engineering <br /> Public Works <br /> City of Eugene <br /> ' - 244 E. Broadway <br /> Eugene, OR 97401 <br /> U' S~(541)682-5560 <br /> <br /> i Service ID: SID ~ PB ? GL ~JC JE ~ J <br /> P <br /> I Project title: <br /> ~ /location work d criplion / <br /> ~ <br /> Project manager /contact / p ivate engineer: , 0 / <br /> ~ PROJECT SCOPEQ: o - <br /> Paving: ~ r ~ Bike lanes /paths: <br /> (wioYhsJ (wrd/hJ <br /> Concrete walks: Setback /Curbside <br /> //engthJ (wrd/hJ <br /> Wastewater Stormwater Landscaping <br /> ' Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> ~ <br /> ~ FUNDING S URCES: y ~ G K ~ (~J ~"ltV~~ <br /> City Assessments Private Other,department <br /> I. <br /> Account code <br /> j Fed /State / County /FAA fixed) <br /> ' COMMENTS /SPECIAL PROJECT INFO. / IN RD,EPARTMENTAL WORK DESCRIPTION: <br /> i - <br /> APPROVE: c <br /> i Project Mana <br /> jer Date ~ ~ <br /> Principal Engineer Date £~J ~ ` <br /> Facilities M~ger ) Date <br /> ' City Engineer Date G ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Ca ital Project No. - ` ~ ~ y3 l ACK j ~ ~J C1 ~3 2- (O~''~ X X q S 43y <br /> P 1 <br /> ~ GL Title t" ~ ~ ~~~-~1 ~u~, , ~ <br /> Assigned by Date ~ p /U <br /> Accounting by Date <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 ?ULY2004 <br /> <br />