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:G . <br /> PROJECT AUTHORIZATION FORM ~`'f ~ Engineering <br /> ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ ~ Eugene, OR 97401 <br /> Service ID: SID PB _ GL _ JC ~ ~E (541) 682-5560 <br /> Project title: f _ ~l L <br /> (loc~ <br /> T!~d~Ciiplionf _ _ 1 / ,hI'~~~•~i't,~ ~a~~.L <br /> Project manager /contact /private engineer: ~.~~f ~ <br /> a ~ <br /> PROJECT SCOPE: <br /> g: ~ ~ ~ <br /> Pavin ~ ~ ~ Bike lanes 1 paths: <br /> (widths/ (width/ <br /> Concrete walks: Setback /Curbside <br /> penyrh/ (width/ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW repuired <br /> New building construction Planning, other Remodell I 4 <br /> FUNDING SOUR S: <br /> City AssessmenJ~' Private Other department <br /> Account code <br /> Fed 1 State /County /FAA fixed) <br /> 'COMMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIP N: I <br /> ~ <br /> i <br /> ~ vK t <br /> k: C \ i <br /> ~ ((4 <br /> I <br /> <.~iw I <br /> <br /> k ! <br /> APPROVED: <br /> Project Manager Date ! ' ~ i <br /> Principal Engineer Date ~ <br /> Facilities Manager Date / i' <br /> City Engineer Date ~%1 ~-°,G <br /> FOR USE BY ADMINISTRATION ONLY I <br /> Capital Project No. "15S~D 1 T ACK ~~1 9.~3a ~xxx x ~'S'.~ ~o / ~ ~ <br /> GL Title ~~1~~_~/ <br /> T ~ <br /> Assigned by ` ~ Date / <br /> 1 <br /> Accounting by Date j <br /> ATTACHMENTS: ~ <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition i <br /> ? 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 /> I <br /> ENG 415 WHITE 1 Finance YELLOW /Administration File PINK f Engineering File GOLDENROD /Project Manager JUL Y2004 1 <br /> <br />