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r . Y,. _ <br /> ~-C,~...~.-- <br /> ~ ~ <br /> ~r ~ ~ CJ"`~ Engineering <br /> ` pR~OJECT AUTHORIZATION FORM ~ Public Works <br /> T n , <br /> City of Eugene <br /> A 244 E. Broadway <br /> W Eugene, OR 97401 <br /> / ` / T' (541) 682-5560 I <br /> ervice ID: SID PB GL " JC v JE <br /> j <br /> I'roj$ct title: <br /> tion a wo desciiptionJ <br /> ~ I <br /> _ I• <br /> roject manager /contact /private engineer: 1 <br /> RROJECT SCOPE: <br /> Ravin Bike lanes /paths: <br /> I g" (widths) (width/ <br /> Concrete walks: Setback /Curbside j <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 I bounty /FAA fixed) <br /> rl <br /> ' OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> • yi ii <br /> 'i <br /> ~Pi <br /> i 1 <br /> t~ i <br /> <br /> rf -a ~ <br /> fA.' <br /> ' pPPROVEf~: <br /> Project Manager Date <br /> principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~7 UG <br /> r <br /> ~ FOR USE BY ADMI/N,,I~S~TR~ATION ONLY ~J <br /> Capital Project No. ~ ~ ~ o~ ACK f.1/~! 3 ~ ~~u ~ ~ ~ ~0 r <br /> ~ GL Title V Y~ ~Y 1 'f I P 5 VV <br /> ' ~ o bcp <br /> ~ Assigned b 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 4 <br /> ? City Engineer's Initiating Order Id PUbIIC Improvement Permit Application ? Map ; <br /> . ? Request for Scoping Meeting Ewa ~ ; <br /> VV ~ <br /> LNG d15 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 ' <br /> I <br /> <br />