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i f~ L <br /> i , r I l <br /> ~RROJECT AUTHORIZATION FORM Engineering <br /> i - Public Works <br /> ! r City of Eugene <br /> 244 E. Broadway <br /> 541e 6820- <br /> 560401 <br /> ~ ) <br /> j I'~, Service ID' ~ SID PB GL JC JE <br /> Pro ect title: <br /> ~ i 1 I ~-'1 1,~' ~ Vl~ t/~~ ~ 1 t 1 V GI 11 G It.,,~~ <br /> //ocaban ano' work descnphonJ <br /> Praject manager /contact /private engineer: r'T <br /> ' i PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> Wastewater Stormwater ~h//~ ~ Landscaping <br /> ,Signal Street lights ROW required <br /> flew building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> ~ _ Account code <br /> Fed /State /County /FAA o <br /> (/o, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO / INTERDEPARTME TAL WORK DESCRIPTION: <br /> ~r~g LaG I~V~P~~,~-~' <br /> j <br /> j <br /> <br /> I APPROVED: <br /> Project Manager Date p, <br /> V <br /> Principal Engineer G Date <br /> Facilities Manag Date ! <br /> City Engineer Date G~S G~ <br /> FO~jR USE BY ADMI/N~ISTRATION ONLY S- <br /> Capital Project No. ~ ~ -1 ~ ACK i.U ~ ~ ~ ~ ~ ~ x~~~ ~ ~ ~ 5 7 ! <br /> UL Title ~ ~-'Y~ cJ~ / w - ` <br /> Assigned y Date ~ V ~ ~ <br /> I <br /> 'i <br /> Accounting y Date <br /> i <br /> TTACHMENTS: <br /> j Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ' <br /> ; SDC Budget Worksheet ~~Frtgineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order ~ Public Improvement Permit Application ? Map i <br /> Request for Scoping Meeting <br /> I -~"C~ ~ <br /> E E~JG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />