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i. ~ °~,P° ~ . <br /> f((,, _ <br /> ~ <br /> ~ PROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> City otEugene <br /> 244 E. Broadway <br /> i~ r ~ ~ ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> ;Service ID: cQ~ SID PB GL JC JE~ <br /> Project title: ~ ~ VS ~ e Tl <br /> (location nd work descdption/ i~7 <br /> L~~.. ~ <br /> Project manager / ontact /private engineer: -1 ~ <br /> PROJECT SC PE: <br /> Paving: (widlhsJ Bike lanes /paths: <br /> (widlhJ <br /> Concrete walks Setback /Curbside <br /> (/enq/hl /width) <br /> Wastewater Stormwater j~ Landscaping <br /> I <br /> Signal Street lights ROW required j <br /> I New building c nstruction Planning, other Remodel <br /> ~ FUNDING SOU CES: <br /> ~ City Assessments Private X Other department I <br /> Account code <br /> Fed /State / Co my /FAA fixed) <br /> OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ I T, ~ l~ ~ <br /> i <br /> t ~ <br /> I <br /> I <br /> 4 ~ <br /> APPROVED: <br /> Project Manag r Date <br /> Principal Engin er Date <br /> Facilities Mana er Date / <br /> City Engineer Date ?!g <br /> i <br /> ~jFOR /USE BY ADMINISTRATION) ONLY~~, y j <br /> Capital Project o. ~ ~ -1 ' I ACK ~ ~ ( ~ ~Sf ~ ~'~`-/t <br /> GL Title (..+f.,,~'~-~ <br /> <br /> ~ Assigned b Date ~ <br /> Accountin Date <br /> ~?TTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wor sheet Engineering Agreement ? Engineering Service Work Request ~ <br /> City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> Request for Scop ng Meeting ~ <br /> i <br /> E~JG 415 RITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> - - - - ~ <br /> <br />