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<br /> P,. ~ V ~ <br /> <br /> !I ~ <br /> I <br /> _I ~ <br /> Engineering <br /> ~ R~OJECT AUTHORIZATION FORM Public Works <br /> i <br /> j n City of Eugene <br /> ~ -fj~~44 E. Broadway <br /> ~ q - / \d ~ (541) 6820-5560401 <br /> Service ID: ~ r~ SID PB ~GL ~ J!C~c~Vt~ JE <br /> ~ Project title: f ~'f"1 ~ r `.~''~U W`''~ Tt~ ~~~'t4'(r ~ ~~I~~'t ~"'F'1~Y~~~^t <br /> (/ovation a~ woik descd onJ g ~ ~ ~ <br /> Project manager /contact /private engineer: ~~1~ ~~^s~~~I'y/~ <br /> i PROJECT SCOPE: <br /> I i <br /> ~ Paving: Bike lanes /paths: <br /> ~ /widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> I Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> I <br /> FUNDING SOURCES: <br /> I City Assessments Private Other department <br /> i <br /> ~ Account code <br /> Fed / State`~~ounty /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~S ~ Zt~ /r=, long J~ is a R ~t lsbp ~''y~~( <br /> 1w ~ wtu. ~ a~. c3 c~s,~.v~,~-c~l, n <br /> rr~,. <br /> r~ <br /> APPROVE: <br /> I Project Manager ~ Date ~ ~ <br /> Principal Engineer ,n ` - ~ Date ! C~1- <br /> Facilities Manager ~ Date <br /> City Engineer 'r Date ~ ' f ~ 4` <br /> f <br /> ~ ~FJO,/Ry,~USE BY ADMINISTRATION O/NtlL'Y,, ~j <br /> ,Capital Project No. ~ ~t~~ I ACK ~ ~ ~ ~ z- (.~v~k X- '"1 ~ ~,y <br /> GL Title ~~P ~~",~~-+"1 ~ r Tf' -~j ~"U~'~ <br /> Assigne by Date ~ ( ~ 6 <br /> Accounting by Date <br /> I t~ ATTACHMENTS: <br /> ~ ~ 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 Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />