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`PROJECT AUTHORIZATION FORM t Engineering <br /> ~'("'~"!1 Public Works <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> v/ (541)682-5291 <br /> Service ID:~'!t~.~~~ SID PB GL JC JE <br /> ~I,~JWCX~O 31.~U ~ ~E~.S~o~.1 <br /> ' Project title: ~i <br /> pocetion d work description) <br /> I <br /> Project manager ! ontact /private engineer: ~ ~ D A f~) t~ r! ('1~ ~ <br /> PROJECT SCOPE: - <br /> 1 1 I <br /> Paving: ~ ~ Bike lanes /paths: <br /> i' ~ (widrns) ~ (width) <br /> ' Concrete walksk q~ ~ Setback / Curbside 1~ <br /> j j 1, (ler~9ml N (w;drh) <br /> Wastewater Stormwater ~ <br /> b, 11 Z d Z ~ Landscaping N~13____ <br /> Signal Street lights IJ~ ROW required <br /> New building c nstruction Planning, other Remodel ~ <br /> FUNDING SOt~RCES: <br /> City ~ Assessments I~rivate ~ Other department <br /> i <br /> Account code <br /> - - ~ Fed /State / C uilty /FAA fixed) <br /> I' COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 C-rf~C' <br /> C <br /> . <br /> ' APPROVED: <br /> Project Mana er rn Date <br /> Principal Engir eer Date ~ d <br /> ' Facilities Manger ~ Date ~ <br /> ' City Engineer ~ ~ ' ~ Date ~ <br /> i <br /> j FOR USE BY ADMINISTRATION ONLY <br /> I. ~7 , f / ~ r7 t ~ <br /> j ! Capital Projec No. 3 t ~3~ ACK L.yJi ~ 3 f~X~1C1~' k ~ I -7 Z~"~ <br /> I GL Title ~ ~rl t ~ ~ u-~ <br /> <br /> i <br /> Assigned Date S <br /> I <br /> Accounting b Date <br /> i <br /> li 'I <br /> i ATTACHMENTSt <br /> ? Budget Estima>fe ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget V1~orksheetEngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer'sIl Initiating Order b Public Improvement Permit Application ? Map <br /> File Request F~prm <br /> ENG 415 WHITE /Finance YELLOW /Administration Fle PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> ~ q LI <br /> <br />