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J~CT AUTHORIZATION FORM S U'~l Engineering <br /> ~ ~ ~ ~ ~1 Public Works <br /> ~cF,,,. <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> <br /> i Q (541)682-5560 <br /> Service ID: v SID PB GL JC JE <br /> Project title!~~~ ~~Bt I <br /> ocati wodrdescr" ticy <br /> <br /> i <br /> Project manager /contact /private engineer: ~ S <br /> PROJECT SCOPE• G <br /> I Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> /length/ /width) <br /> I' Wastewater Stormwater Landscaping <br /> I Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ K ' ~ ~3 <br /> i City Assessments Private Other department <br /> Account code <br /> I Fed /State /County /FAA fixed) <br /> - COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> APPROVED: G <br /> ~ , Project Manager Date ZG <br /> ~ u r c <br /> Principal Engineer Date ~-l~cs~`7 <br /> Facilities Manager Date <br /> City Engineer ~9?ir Date ~?/Z~/~._ <br /> f <br /> G <br /> FOR USE BY ADMINISTRATION ONLY <br /> j Capital Project No. ~ ~ ~ ~ ACK ~ 33 ~ 332 - ~ xXxX X6554 <br /> GL Title <br /> Assigned by Date ~ ~ _ y~ <br /> ~ Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ` „l ? 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 /> ~ n ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File.. GOLDENROD /Project Manager ?UL Y2004 <br /> I (J ` V~ <br /> I 0 ~ <br /> <br />