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<br /> i i <br /> - / Y <br /> PROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~b 244 E. Broadway <br /> a Eugene, OR 97401 <br /> ` / v (541)682-5560 <br /> Service ID: 1 ~ SID PB GL _ JC _ JE~ <br /> Project title: 1 I ~~-u~`~- eln.a,bi I i ~u.-hov~ <br /> (/acalio andworkdescnpNarJ <br /> Project manager / ontact /private engineer: _ J~ I-~r wl (l~?' <br /> PROJECT SC PE: <br /> Paving: Bike lanes /paths: <br /> (wioYhsJ /w~hl <br /> Concrete walk : Setback /Curbside <br /> (/e~lh) /wioh'hJ r' <br /> Wastewater Stormwater ~g-- ~Gt(,tl:IGt~ Landscaping <br /> Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> FUNDING SO RCES: ~ SK S'J ~ 4302 Lo ~ 79~ ~~soa~ <br /> Ci Assessments Private Other department <br /> ~e~a'b) Account code <br /> Fed /State / C unty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> YI 1v111~ R.Q.CQ. tt(..tt.u ~~~DvVVI ! p~-5 O X , <br /> t lu~K 5n o ~h i ~ / groa.c! wa be. ee ~ Pa~er~oh S~, n M i I1 <br /> "fl~i i n ` -~tovt 2a-hu-v, tS r 5•}ur~4 -v .~I ~nv c~ ai%~ Gtcfi~ ~ie.a, <br /> APPROVED: <br /> Project Manag r Date 3 31 dS~ <br /> Principal Engin er Date 4 ' ~ ~ ~ <br /> Facilities Mana er Date - <br /> City Engineer Date ~ / <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project o. ~ ACK ~~3~ 1~~x1f Q55 15 ~.o <br /> GL Title ~ <br /> Assigne by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wo ksheet ? Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's I itiating Order ? Public Improvement Permit Application ~ Map <br /> Request for Sco ing Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />