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<br /> • --PR®JECT AUTHORIZATION FORM Engineering <br /> O Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~ Eugene, OR 97401 <br /> r~ _ ~ G V/ (541) 682-5560 <br /> Service ID: ~D :J SID PB GL /C JE <br /> Project title: ~p p M 111~~,/ (~JD~'r{ 'fC O ICh ~ 1_~~ G,(~(L~C'~ • 't.V <br /> rojecl manage /contact /private engineer: M Q:~,~a O d r I G U S S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> /w/Clnal /~erel <br /> Concrete walks: Setback /Curbside <br /> /reng/dl /wimn/ <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 /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> • o I~~~~~~A ioudo•e~,~ <br /> ce erg t4on u.~?11 b <br /> ~~d i~or hud~s~c a11~~cto~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer - _ ? _ Date 12-~ 1 UU <br /> Facilities Manager Date L _ <br /> City Engineer Date ~~;/LZ U~ <br /> FOR US BY ADMINISTRATION ONLY <br /> Capital Project No. _l ~V~~ 3 ACK X33 9;~3~~~ en~ IeOca.rk <br /> GL Title \ ~-X <br /> Assig d by to <br /> Ace n ' Date <br /> ATTACHMENTS: <br /> Budget 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 VELLOW /Administration File PINK /Engineering File GOLDENROD! Project Manager JUL Y2004 <br /> <br />