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PRO En ineerin <br /> JECT AUTHORIZATION FORM g g <br /> Public Works <br /> ~ ~ City of Eugene <br /> 244 E. Broadway <br /> ~ ~ Eugene, OR 97401 <br /> S (541)682-5560 <br /> Service ID: ~ ~ ~ SID_ PB GL JC JE <br /> Projbci itt le:~ ~ ~ <br /> (location and work descriptio <br /> roject manage contact /private engineer: ~~~_~k <br /> PROJECT SCOPE: l <br /> Paving: 1 ~ ~ Bike lanes / aths: <br /> -T---- <br /> ( b'fhsJ p <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (/englhJ (width) <br /> Wastewater ~ Stormwater Landscaping <br /> qtr i; <br /> Signal lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Fed /State /Count /FAA ~ i ~ ~ 1 ~ L i Accou~t code <br /> h e~~ O~ 1 ` ~ •1 ~1~~t1(tk~ tC ~C~ ~3 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ' C~ 1.~i <br /> ~ r i <br /> ' <br /> n Gf..~ C C `n <br /> <br /> ~ ~ ~ ' ~ ~ ~ I~ c <br /> Y <br /> APPROVED: ~ <br /> Project Mana er - ~ " ~ ~ ' <br /> f g Dat ~ _ <br /> e <br /> Principal Engineer Date - ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ <br /> GL Title <br /> Assi ned by Date <br /> Acc untin Date <br /> ATTACHMENTS: <br /> "~udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application .Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />