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~ i s~ <br /> f w ~ <br /> / f 1 <br /> PF~OJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I I <br /> City of Eugene <br /> ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ I / ~ f ~ (541) 682-5560 <br /> Service ID: SID_ PB GL ~C JE <br /> Project title: ~ , G~~ ?•-~tY~ 1V ~ ~~~N.t~~(~h,,,~ <br /> (location and wodr descnptionJ <br /> Project manager /contact /private engineer: <br /> ~ PROJECT SCpPE: <br /> Paving: Bike lanes /paths: <br /> (wioYhs/ <br /> ~ Concrete walks: Setback /Curbside (w!dlhJ <br /> /7 ~9thl (widlhl <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW.required <br /> Mew building cgnstruction Planning, other Remodel <br /> i <br /> ~ FUNDING SOURCES: <br /> i i City Assessments Private ~ Other department <br /> I Account code <br /> i <br /> Fed /State / Caunty /FAA fixed) <br /> OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Iil <br /> ' APPROVED: <br /> Project Manager ~ Date ~ <br /> ' Principal Engineer Date 2 <br /> I Facilities Manager Date <br /> City Engineer ` ~ ' ! _ <br /> ~ Date ',~/4l ~~Y <br /> FOR USE BY ADMINISTRATION ONLY ~`I <br /> ~~U~~IC~ r~ / / ~ I <br /> Capital Project No. ACK 3~ ~ ~ ~ CQ xJ~.k)~~ ~ ~S~U ~ <br /> GL Title ~ ~-kJR-/' ~V~.,-- ~ ~ <br /> v <br /> Assigned Date S ZU p <br /> accountin Date i <br /> I <br /> ' ATTACHMENTS: <br /> <br /> I <br /> Bind et Estimate <br /> C] 9 ? Developer Agreement ? En ineer's R <br /> e ort On Im rovement Petition <br /> y~ 9 P P <br /> ~rr~ <br /> CQ SDC Budget Worksheet ~En ineerin A reement <br /> 9 g ? En ineer' <br /> 9 g Ing Service Work Request II <br /> C;] City Engineer's Initiating Order ~d'public Improvement Permit Application ? Map I <br /> R <br /> Q equest for Scoping Meeting <br /> 1 O <br /> ' E~IG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> ' I <br /> i <br /> <br />