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- t. ~ ~<..,.z-_-=rr. ...:z 'r; .,r ~t:c ~`.e,. `fro ^.'s, 3:. <br /> - ~ . <br /> n <br /> i PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / ~ ~ / (541) 682-5560 <br /> Service ID: SID PB GL JC JE <br /> Project title: <br /> ' location ~ <br /> po' work descripiionJ ~ In <br /> i <br /> Project manager /contact /private engineer: i'h OGL . <br /> PROJECT SCOPE: <br /> ~ paving: Bike lanes /paths: <br /> (widths) (wioYh) <br /> Concrete walks: S~k /Curbside <br /> (/engthJ rdl/}I/ <br /> j ~ Wastewater ~ Stormwater ~ ~ ~ Landscaping <br /> ~ ~ Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> f <br /> j FUNDING SOURCES: <br /> pity Assessments Private Other department ~ <br /> Account code <br /> I~ed /State"~ County /FAA fixed) <br /> OIi~IIIMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I AI~PROVg~: <br /> Project Manager ~ Date <br /> I Principal Engineer Date <br /> ~ Facilities Man er Date <br /> i <br /> ~ ~ City Engineer ~ Date ~ ' 2 b - U(~ <br /> I <br /> i <br /> 1 FOR USE BY ADMINISTRATION ONLY <br /> ~ I ~'7yyl~ A~K(o~3I 931 3r74U1 ~t <br /> Capital Project No. <br /> 1 IGL Title C]~C~' <br /> 1 f Assigne b Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> II ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> E ? SDC Budget Worksheet d Engineering Agreement ? Engineering Service Work Request <br /> <br /> I, ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> Q Request for Scoping Meeting ~ ~ ~ <br /> LNG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> i <br /> <br />