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s ~ Engineering ' <br /> <br /> i i~~PROJECT UTHORIZATION FORM 1~'~G~Sf <br /> Public Works ' <br /> f <br /> City of Eugene <br /> _ 244 E. Broadway <br /> Eugene, OR 97401 j <br /> 9 ? ~ ~ (541)682-5560 i <br /> SID~B ~GL yJC JE <br /> Service ID: <br /> project title: , <br /> (/ocafion a woAr descriplionJ 1 I ~ j <br /> ~ T <br /> ~roject m ager / c act /private engineer: <br /> I <br /> ' PROJECT SC PE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> i <br /> j Concrete walks: Fie a /Curbside <br /> 1 ~ ~ (ienyrh~ /widr ~ ~ j <br /> ~ Wastewater Stormwater Landscaping I <br /> i <br /> Signal Street lights ROW required <br /> i <br /> New building c struction Planning, other Remodel <br /> FUNDING SOU CES: j <br /> I City Assessments Private Other department <br /> Account code ~ <br /> Fed /State / Co my /FAA fixed) <br /> OMMENTS / SPE IAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> I <br /> ` i <br /> APPROVED: <br /> Project Manag r Date Z <br /> f Principal Engin er Date <br /> Facilities Mana er Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY j <br /> I Capital Project No. ~r ' <br /> `r~~~ ~ ACK q33 Z ~,xx 3 r7y3`~' 1 <br /> E <br /> ` GL Title , ~ I <br /> I <br /> 2 1 <br /> Assigned b F _ Date"' <br /> i <br /> Accounting by Date j <br /> I <br /> ATTACHMENTS: <br /> I <br /> Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> ~ City Engineer's nitiating Order ,Public Improvement Permit Application ? Map <br /> ? Request for Sc ping Meeting <br /> j I ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 i <br /> , ~j~ 13 S <br /> <br />