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i <br /> PROJECT AUTHORIZATION FORM Englneerl"g <br /> Public Works <br /> City of Eugene ' <br /> 44 E. Broadway <br /> ~Eugene, OR 97401 <br /> 1541) 682-5560 <br /> Service ID: SID ~PB ~ GL JC ~JE~ <br /> Project title: <br /> ~'1'R,~-~'~?B,I~R-~1 t- <br /> (/ocalion and work descnplionJ <br /> Project manager /contact /private engineer: ~'C~V <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> !_~0~.~ .Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~V 5 T D ~ 1 <br /> APPROVED: ~~ff~~ <br /> Project Manager ~ Date T. Z-a • ~ ~i <br /> Principal Engineer Date ~ ° ~ * ~ q <br /> .~aei~iii~ae?Manager Date <br /> City Engineer Date 0 ~ <br /> ~p FOR USE BY ADMINISTRATION ONLY I~ <br /> Capital Project No. ~ r ACK ~ ~ ~ ~ I <br /> GL Title ~ ~ ~ C'"~`'°'° <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 <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 />