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~`T ~ <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> n 244 E. Broadway <br /> V/_ <br /> _ IV/_ ,1/x11', Eugene, OR 97401 <br /> Service ID: ~i~ SID PB ~ GL~JC JE~ (547) 682-5560 <br /> Project title:_.Frehfi Gobur L{~~j(. S1G1 ac.p.C~ <br /> -i-~ L <br /> Project manager contact private engineer: cST °L(/~° ~{.C(.Q'~~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: w~ <br /> Concrete walks: ~__~AVa <br /> ~,S Setback /Curbside <br /> //e~rh/ /wimn/ <br /> Wastewater " ~ Stormwater Landscaping <br /> Signal '~I/a~~r r~y~ _ Street lights ROW required <br /> New building construction Q Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private. ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manage - Date ~ 2 <br /> Principal Engin r Date <br /> Facilities Manager Date <br /> City Enginee Date / 4~ <br /> ~F)O~R~(~USE BY ADMINISTRATION ONJJ~~LY <br /> Capital Project No. ACK L ~ 3S1 L({7r C ~-1-t![-~ <br /> GL Title~~le-r , ~ ~ <br /> Assi d by c Date ' <br /> A ounting by Date <br /> ATTACHMENTS: ~ \J ~l/ Z <br /> ? Budget Estimate ? D veloper Agreemen~ I Lf Engineer's Report On Improvement Petdion <br /> ? SDC Budget Worksheet C~gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~blic Improvement Permit Application ? Map <br /> ? Requesl for Scoping Meeting <br /> <br /> ENG 415 WHI7E /Finance YELLOW I Atlministration File PINK /Engineering File GOLDENROD / Project Manager JUL Y2004 <br /> <br />