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l~ _ - ~ . <br /> r / <br /> ` THORIZATION FORM n Engineering <br /> ~R!OJEOT AU Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> y ~ / ~ Eugene, OR 97401 <br /> ,V/ ~/J (541) 682-5560 <br /> Service ID: ~ SID PB GL JC JE <br /> i <br /> IProject title: ~ i <br /> ation and work scdplionJ I <br /> fProjgct manager /contact /private engineer: <br /> PIROJECT SCOPE: <br /> i paving: Bike lanes /paths: <br /> j /widlhsJ (wrdlhJ <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (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 /> i <br /> Account code <br /> i <br /> i Fed /State /County /FAA fixed) <br /> ONyMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> f <br /> ~ ' <br /> APPROVED: <br /> i Project Manager Date <br /> Principal Engineer Date I <br /> j facilities Manager Date y~ <br /> Gity Engineer . Date <br /> I <br /> ~ FO//R~~ USE BY ADMIN/ISTRAT~I^rON ONLY ~y~f(/ <br /> trapital Project No.~.-_~~`i~ ACK 1 ~ `(~5 ~ ~~.~i~/t/~ ~7 7 <br /> I <br /> GL Title I^ y ~ <br /> I Assigned y Date ~r ~ O ' <br /> accounting by Date <br /> I <br /> ATTACHMENTS: +i <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet IP~~ngineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order PUbIIC Improvement Permit Application ? Map j <br /> ' ? Request for Scoping Meeting ~ J <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />