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h , <br /> - A~ <br /> - 'JECT AUTHORIZATION FORM 1~G Engineering <br /> t..7~~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> lqf,~ Eugene, OR 97401 <br /> f~~ (541) 682-5560 <br /> Service ID:` "¢..3/2 SID_ PB GL Y JC ~ JE 3 <br /> Project title: -ZDD,S P£~ G'~~SS/,d6..S ,/,,~'/)/~i9TfJ /'Q/SS WALKS W~.PC-iy6°c" ~..SCA,U,~1S <br /> 1 (location an}d work descnplionJ <br /> Project manager /contact /private engineer: ~ NN ,QOiclh~11lf~ <br /> PROJECT SCOPE: <br /> Paving: (wdths/ Bike lanes /paths: <br /> (width/ <br /> Concrete walks: Setback /Curbside <br /> /length) (width) <br /> Wastewater Stormwater Landscaping <br /> II Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> ~ <br /> FUNDING SOURCES:/ X33 l <br /> ~Q n S ~L~. ~ ~v .~~~-~z~~ <br /> City S ? / Assessments Private Other department _ - <br /> Account code <br /> Fed State /County /FAA ~ ~ fixed) <br /> a COMMENTS !SPECIAL PROJECT INFO. / fNTERDEPARTMENTAL WORK DESCRIPTION: <br /> /'~~.U~l1Nr1'~~.1 <br /> ~t1 s ll T~~ ~,.4J <br /> Project Manager ~ Date 5-~1-'~'-~ <br /> Principal Enginee Date ~ ' <br /> Facilities Manager Date <br /> City Engineer - ~ Date ~ o <br /> I <br /> 4 <br /> FOR USE BY ADMINISTRATION ONLY , <br /> 2 <br /> Capital Project No. ~ ~ ~ ~Q a ACK ± ~X XlCX q ~v~~Ucj.~ <br /> i <br /> GL Title ~~»r/(,~ ~/n(~Vl! ~ r ~~J~.,s <br /> Assigned by Date ~ <br /> Accounting by Date <br /> i <br /> A CHMENTS: <br /> dget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ~ <br /> ? SDC Budget Worksheet ? Engineering Agreement ngineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application L~ Map//6'~ I <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 ~ <br /> I <br /> <br />