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;.r _ / <br /> i <br /> v i <br /> ~ ± G ......---r <br /> ~r ~ Engineering j <br /> ' PROJECT AUTHORIZATION FORM Public Works <br /> i <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541)682-5560 <br /> Service ID: ~ ~~~0 SID ~ PB GL JC ~JE _ ~ <br /> ~+JW ?-~S ~YY~iI~2 FG'14GJ~ l/ 'Yo~n~/ ~S /NS t~S a< ~ j <br /> Project title: <br /> (/ocatio and wn~k descnptionJ <br /> a <br /> Project manager contact /private engineer: G <br /> t <br /> PROJECT SCOPE: <br /> Pavin Bike lanes /paths: <br /> g' (wldlhsl (width) <br /> Concrete walks: Setback /Curbside <br /> ` I (/engthJ (wid/hJ <br /> j Wastewater 7~ Stormwater Landscaping <br /> <br /> ~ I Signal Street lights ROW required <br /> ' New building construction Planning, other Remodel <br /> ~I U <br /> FUNDING SOURCES: <br /> City ~~~ci~d Assessments Private Other department <br /> "~,5 ~.~-d ~ ~-S~~/ Account code <br /> ~ 'I Fed /State /County / FA'A fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> / i V S s t ~J S ~ ~ <br /> Er f .S ~l <br /> 3~~~, ~ . <br /> l APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ` <br /> Facilities Manager Date <br /> ! City Engineer ~ Date ~ 7 y- <br /> i <br /> j FOR USE 8Y ADMINISTRATION ONLY " <br /> 8551 n~ <br /> Capital Project No. ACK 9 3~' k ~ <br /> GL Title o?~S ~ehCtb /.~Ce <br /> ` ~ <br /> Assigned y Date ~ D~ <br /> Accounting by Date <br /> f <br /> ATTACHMENTS: <br /> JJ j~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> i <br /> <br />