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PROJECT AUTHORIZATION FORM II~G>S-k-~' Engineering ~ <br /> Public Works I <br /> I <br /> i <br /> City of Eugene i <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID PB ~ GL JC JE ~ <br /> ~f'roject title: ~ j <br /> (/oc n i~d orkb'esc tionJ ! ~ <br /> O <br /> i <br /> Project manager /contact /private engineer: ~ S i <br /> J <br /> PROJECT SCOPE: u i <br /> I <br /> Paving: /wioYhsJ Bike lanes /paths: I <br /> /widlhf <br /> Concrete walks: Setback /Curbside <br /> (/en9fhJ /wio7h) <br /> 7,~, Wastewater Stormwater Landscaping <br /> j <br /> Signal Street lights ~ f30W required <br /> New building construction Planning, other Remodel I <br /> I <br /> FUNDING OURCES: ~ ~ Q ~ ~ > I <br /> i <br /> City Assessments Private Other department ~ <br /> Account code ~ <br /> t s Fed /State /County /FAA fixed) ~ <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: 1 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> <br /> ~ Facilities Manager// Date j <br /> City Engineer~.~`.~~~ Date P~7`/~-- j <br /> i <br /> i <br /> FOR~)USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~1 ~cJ S ~U'7 ACK `~J3 ~ ~~J Z ~.1 ~X-.1C ~ ~y ~j <br /> GL Title wE Z~'~ - ~m~ t r W ~e 1'f~'L'_?SD <br /> Assigned y Date ~ ~ ~ ~ <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request f <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application~Map ~ <br /> ? Request for Scoping Meeting f <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 1 <br /> ti I <br /> <br />