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~ J'j .ice yr ~ y \ <br /> , <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ublic Works <br /> ~ City of Eugene <br /> , 244 E. Broadway <br /> nV Eugene, OR 97401 <br /> V (541) 682-5560 <br /> f Service ID: ~5~1 SID ~PB V GL JC v JE~ <br /> Project title: 2W ~ \ OS~Ckr4~1~tr ~e,~..~3%~ ~'1 ~'RG1- { ~rl,/t ~C.~ <br /> (location arrd work desorption) <br /> Pr ect manag /contact /private engineer: ~G,.i r S <br /> P <br /> .PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (widthl <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> 4 ~ 'Wastewater Stormwater Landscaping <br /> i <br /> S~nal Street lights ROW required <br /> ~w building construction Planning, other Remodel <br /> i <br /> UNDING SOURCES: <br /> City~~ ~ Assessments Private Other department <br /> ~ ,bib Account code <br /> ` ~ ~ ~ed /State /County /FAA fixed) <br /> OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESC IPTI N: <br /> r-L - ce, ~ ~ fie.. <br /> i <br /> I <br /> e <br /> APPROVED: ~ <br /> j Project Manager Date _ <br /> ' Principal Engineer Date 5 ~ <br /> E Facilities Manager Date <br /> City Engineer Date <br /> ' ~ <br /> ~ I FOR USE BY ADMINISTRATION ONLY <br /> P Q 7 1 <br /> Capital Project No. ` ~~L ~ ~ ACK--~' ~ ~ L?X~`~`'~'~' ~ ~ ~ Z r <br /> E <br /> ' J <br /> l GL Title <br /> ~26g L <br /> ~ Assigne by Date <br /> Accounting by Date <br /> A CHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~ ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ap <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD !Project Manager JUL Y2004 <br /> <br />