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I <br /> Engineering <br /> PRdJECT 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 5 <br /> Project title: ~ ~ K` 0 ~a ~c ~ ~'i ~\1~' . <br /> (location and work desciiptionJ <br /> ro'ect mana /contact /private engineer: t1?~' ~ ~ <br /> ~ <br /> 'q~~j <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (width) <br /> Concrete walks: _ Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~Y..' Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ` ~ CZ <br /> APPROVED: ~1 <br /> Project Manager ~ Date <br /> Principal Engineer Date ~ ~ <br /> Facilities Manager Date - <br /> City Engineer_ Date ~ ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ®d~~°°~~c3~° ~!X.X~ <br /> GL Title J~ ~ ~ <br /> d----~ .p <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request I <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ~ Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />