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i . <br /> . , f i <br /> a, r <br /> .PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i ; City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> i (541)682-5560 <br /> Service ID: SID PB GL JC JE <br /> Project title: ~?iv~ ~ I~ov12~a ~~/hn W~Gt/ ~v~1~,ip~,tn C7V?~I ~n V~I/ <br /> (location and work <br /> ~ <br /> icn <br /> only <br /> ` Project manager /contact /private engineer: _S iu'~i~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width/ , , <br /> ~ Concrete walks: Setback /Curbside i ~ <br /> (length) (width/ <br /> Wastewater Stormwater 3`~(~ O Landscaping c-~ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> j City Assessments Private , Other department <br /> Account code <br /> 31~,~"~a Fed TState /'County /FAA ~ fixed) <br /> z ~ <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPA~RT/MENTAL WORK DESCRIPTION: <br /> ~,~Y~u~• I i ~ ~ ZG ~ rV~ L ~7 <br /> ~ M o ~ I~ ( I c?r <br /> << <br /> ~ ~V Z t 1~ ?c- t t C~ fem. t <br /> ,,~,1,.._.,. <br /> APPROVE: .1 <br /> Project Manager Date IZ-a~'~'1' <br /> Principal Engineer Date ~ ` ~ ~ ~ <br /> Facilities Manager Date <br /> City Engineer ` ~ Date <br /> FOR USE BY ADMINIS~~((TRATION ON/L _Y' <br /> Capital Project No. ~ ~ ACK r+~~ ~~x ~ q~ J) ~ c j <br /> GL Title ~r~` ~ ~ ~1(~l~ Jw ill. ! <br /> Q <br /> Assigned by Date ~ , <br /> i <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition 1 <br /> ? SDC Budget Worksheet ? Engineering Agreement ? ~tngineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> <br /> i ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> <br />