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~ N - <br /> Engineering <br /> riOJECT AUTHORIZATION FORM ~ <br /> Public Works <br /> i <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> *fi ~T 1 (541) 682-5560 <br /> Service ID:_ SID_Y PB GL Y JC JE <br /> Project title: ~l'~~°?1 rJ? ~1 Tri~~Ar y Syptii~ f <br /> L /~rwirj e /~N~, .Sttic.~J <br /> (/ocalion and work descnplionJ <br /> Project manager /contact /private engineer: ~ ~ I ~ ~i, XS~ <br /> PROJECT SCOPE: <br /> Paving: _ N U Bike lanes /paths: ~ _ <br /> f (widlhs/ widlhJ <br /> Concrete walks: D _ _ Setback /Curbside <br /> (/engthJ / idlhJ , I <br /> Wastewater-. J(/ ~ _ Stormwater ~o Landscaping /VU <br /> Signal _ Street lights f'S ROW required /t!O <br /> New building construction_~_ Planning, other CVO Remodel /VU <br /> FUNDING SOURCES: <br /> City f~~' Assessments Private. Other department <br /> ~r,~~9yp' Account code <br /> Fed /State /County /FAA _ _ _ _ _ _ - _ fixed) <br /> € ~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> € l <br /> ~ „ ; - _ - <br /> s ~ ; _ - <br /> _ <br /> w <br /> <br /> E _ <br /> <br /> P - - <br /> APPROVED: <br /> Project Manager ~ -Date g /y ~ _ <br /> Principal Engineer Date ~ ~ q'"U <br /> Facilities Manager - Date <br /> City Engineer_ <br /> - Date - _ <br /> FOR USE BY ADMINISTRATION ONLY <br /> p' j { ~j/S' ~°'Z.. ACK S ~`t JJr~. (pX X~ X~C -1 ~ ~j-Z.. <br /> Ca Ital Project No. //11~~1 <br /> GL Title t,~''iT~ r l b s~+m ~u~5ern~ ~ /j~;? ~ ~ ~~~j ~ <br /> _ r_ <br /> Assigned y <br /> Date <br /> Accounting by _ Date - <br /> ATTACHMENTS: <br /> udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> J~SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Re uest <br /> q <br /> Clty 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 />