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_ _ _ _ ~i <br /> I <br /> <br /> ~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> q 9 e~E. Broadway -~s-~,'Bc~ <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ ~ SID PB . GL JC JE <br /> Project title: ~ ~ <br /> (location and work desciiptioy <br /> Project manager / contac /private engineer: ~G~ ~ ~®L° ~"LttCi f ~ <br /> PROJECT SCOPE: <br /> Paving: ~ B~- Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside <br /> (length) (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 /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Mana r Date - <br /> Principal Engl eer Date <br /> Facilities Manager Date <br /> City Enginee Date ~ a <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~"~l_-~'t ACK " ' ~ <br /> ~'~D ~ ,'C v""' P <br /> GL Title ' <br /> Assigned by ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet L~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~ublic 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 /> I <br /> <br />