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t - <br /> ~ A P" rf n , <br /> .~,,•~X~ <br /> w..' <br /> ~ t~ ~ <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl <br /> ~ ~ Eugene, OR 97401 <br /> VJ ~ (541) 682-5291 <br /> Service ID: SIDn PB GL ~JC JE \ <br /> i ' Project title: ~ n ~ f' V t L(...~"L~ C <br /> (locahon an o descnpbon) <br /> ~v ~ T U .1Vt W T ~ ~ VV>ts ~ ~ rv ~T <br /> Project manager /contact /private engineer: ~A ~ OLh/` ~ i"~'r.-r`~',; ~ <<r` <br /> PROJECT SCpPE: ~ ~ / <br /> 2 I ~ L_ <br /> i Paving: ~ ~ ~ drns) Bike lanes /paths: <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> ' ~ +i (length) (width) p~ /1 <br /> Wastewater Stormwater ~ O Landscaping <br /> Signal Street lights ~ t, ROW required <br /> New building construction Planning, other T ~ i Z Remodel <br /> FUNDING SOU'~RCES: <br /> ' City Assessments Private ~ Other department <br /> i <br /> Account code <br /> ! ~ Fed /State /County /FAA <br /> (/o, fixed) <br /> ~I COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> j~i <br /> APPROVED: <br /> ~I Project Manager ~ ` ~ " Date <br /> Principal Engineer ~ ~ t Date 7 ~ G <br /> Facilities Manager J Date <br /> ' I City Engineer > Date ~U <br /> FOR~~^^~~USE BY ADMINISTRATION ONLY C <br /> I! Capital Project No. ~J' ~ "1 ACK LQ3 ~ t..4~~cxK K 3~~ Zy t <br /> GL Title d. ~ l ~ u- ~G( <br /> I ~ - i <br /> Assigned y ~ ~ Q L <br /> Date ! <br /> <br /> ~ Accounting by Date ~ <br /> i <br /> ATTACHMENTS: ~ <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet L`~fngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> e Request Form i <br /> i <br /> EWG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> ~ <br /> <br />