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, . • <br /> - <br /> . _ <br /> ,..x.:.. <br /> ~ <br /> ,~r _ , <br /> Engineering <br /> PR~JECT:AUTHORIZATI'ON FORM P„br~works <br /> - - <br /> City of-Eugene <br /> 244 E. Broadway.. <br /> ~ y ` i 'Eugene, OR 97401 <br /> (541) 682-5560 - <br /> Service ID: SID~PB ~GL JC J <br /> Projecf title: ~ ~ ~ ~ ~ ~ i' ~e~ <br /> (/ocalion and work descriplionJ <br /> Project manager/contact /private engineer: <br /> 'PROJECT SGOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsl (widlhJ <br /> Concrete walks: - Setback / Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> :Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING'$OURCES: <br /> City ~ ~ , Assessments Private Other department <br /> Account code <br /> Fed /.State /County /-FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION:: <br /> ~ - <br /> a <br /> <br /> ~ r~ . ' <br /> C1. ~ <br /> " <br /> APPROVED: ;w. <br /> Project.Manager ~ Date ` <br /> s 5 f <br /> Principal Engineer , / a'~ ,'t~;.; Date ~ . € ° ~ <br /> Facilities Manager'; ~ Date~~ <br /> ~ <br /> City Engineer- Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ xw ACK ~ ~ ~f ~ r <br /> GL Title ~~,.~f ~ ~ <br /> Assigned by ~ `Date ~ 3 <br /> ~ a ~ ~ ~ <br /> Accounting by a; - Date ~ <br /> _ r <br /> u~.~ <br /> { <br /> ATTACHMENTS: ` <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Request-for Seoping Meeting , <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager. ?ULY2004 <br /> <br />