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r ' <br /> ~ ,~,.1 ' ~ ~ Engineering <br /> PROJECT ~d?UTHORIZATION FORM ~ Public Works i <br /> City of Eugene <br /> 244 E. Broadway <br /> <br /> ""Y i i , ~ ~ ~ ~ Eugene, OR 97401 <br /> '~JC (541)682-5560 <br /> I', Service ID. ~ ~ / ~ SID PB GL JC JE <br /> ~ ~Su,b~iU/.jig . <br /> Project title: ~~-~h~ r <br /> (/ocalion ;ano' ~iroik descdplionJ L ~ ~ ~ / , . ~V <br /> T L/l~ <br /> Project manager / contact /private engineer: <br /> PROJECT SCbPE: ~ <br /> ths: <br /> Bike lanes / a <br /> p <br /> P 21 <br /> avin <br /> i g ~ r hs (wid/hJ <br /> wd1 <br /> i ( <br /> I <br /> I etbac /Curbside <br /> Concrete walk: <br /> ~ ~ (/engthJ wr fi ~ ~ <br /> Wastewater ~ Stormwater ~ <br /> ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> ~ City Assessments Private f~ Other department <br /> Account code <br /> } I Fed /State / County /FAA fixed) <br /> COMMENTS / SPACIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a~ <br /> r.: <br /> ,.x. <br /> APPROVED: ' <br /> Project Manager Date <br /> Principal Engi{~eer Date <br /> I <br /> Date <br /> Facilities Manger <br /> City Engineer' ' Date ~ t~,UG <br /> FOR USE BY ADMINISTRATION ONLY <br /> Y Y <br /> %~I~] ~ ~l <br /> x <br /> i ~ ? ~5 X 3 ~ <br /> I 3 <br /> q <br /> Ca ital Project No.~~ ACK <br /> P 1 <br /> cal J U J Cl <br /> GL Title <br /> J~ <br /> Date <br /> Assigned y <br /> ' Date <br /> in b <br /> Account <br /> i 9 N <br /> ATTACHMENTS; <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~i i ? SDC Budget Worksheet C~r~gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scpping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> ~ ~y $2 <br /> <br />