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<br /> i<.:. _ <br /> 4 <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID PB GL JC JE <br /> ~i- ~ <br /> Project title: ~«i~in~~.11 e Ate„ l~Xa. <br /> ~=,n ~~.~Q ~ e~~ °f'~..~ ` ~ ° S <br /> (location and work desciiptionJ <br /> Project manager /contact /private engineer: ~ <br /> ~.e ~c^a\l~ z <br /> PROJECT SCOPE: <br /> Paving: _ Bike lanes /paths: <br /> (widlhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (/englhJ wid~thJ <br /> Wastewater Stormwater i~~ ~ ® Landscaping- <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SOURCES: <br /> City l~'~~ 53~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: r-~ <br /> r ~ ~ ~~~N c S3 7~ <br /> APPROVED: <br /> Project Manager ~ ~ Date <br /> s <br /> Principal Engineer ~ Date ~ ` <br /> Facilities Manager Date <br /> City Engine .r Date d <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. AC <br /> e~ <br /> GL Title <br /> Ass' ned by ~ Date <br /> Ac ountm Date <br /> ATT/~CHMENTS: <br /> udget Estimate ? Developer Agreement ? En ineer's Re ort On Im rovement Petition <br /> 9 p p <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Re uest for Sco in Meetin <br /> q p 9 9 <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />