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m, _ . , <br /> ~ ~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works ~ <br /> City of Eugene <br /> I 244 E. Broadway <br /> <br /> ~ Eugene, OR 97401 <br /> N~~,~ (541) 682-5560 <br /> Service ID: ~ ~ SID PB GL JC JE I <br /> f <br /> Project title: ~ -1 _ ~ <br /> location and work escripti <br /> <br /> ~ ( is e s-~' o u I ; o S~- ~ <br /> Project manager /contact /private engineer: ~ ~ ~ G{ ~ e- <br /> PROJECT SCOPE: <br /> <br /> I Paving: ~ Bike lanes /paths: j <br /> <br /> I (wrdlhs/ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required ~ <br /> New building construction Planning, other Remodel <br /> I FUNDING SOURCES: ~ $ ~V ~ j'`~L I y <br /> City ? Assessments Private Other department <br /> Account code <br /> . gip` <br /> Fed / State `County /FAA fixed) <br /> E " COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL ORK DESCRIPTION: <br /> k f r e y~ S ~ art. ~ vc ' o,.. ` <br /> Project Manager ~ Date <br /> Principal Engineer ~ Date " ~ ' ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ 1 <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> 'a <br /> Capital Project No. 5~(,~-I ~ ACK ~3~ ~Jx~~~C `7 ~~w <br /> GL Title Pr'~ CrGSI'~- ~il~ ~Obi.UtG ~ully~ <br /> ~ .3 ~ ~ c~ ~ <br /> i Assigne by Date <br /> I <br /> Accounting by Date <br /> I <br /> ~I` ATTACHMENTS: <br /> 1 ~ 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 ~l Map <br /> ~ ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> ( <br /> <br />