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P ~ <br /> <br /> ~ ~ - ~ ~ ~ -~--#t'~ <br /> PROJECT UTHORIZATION FORM ~ Engineering <br /> <br /> j Public Works <br /> <br /> t <br /> <br /> ' ~ City of Eugene <br /> I~ 858 Pearl <br /> ~ f / ~ Eugene, OR 97401 <br /> t/ V 1/ (541) 682-5291 <br /> Service ID: ~ SID PB GL JC JE <br /> j ~~~~M~ <br /> l~ ~ <br /> <br /> f <br /> <br /> I Pro ect title: <br /> (locetionant(ap description) ~O .,,,,.r ~ <br /> tfJ t <br /> Project manager / ;contact /private engineer: <br /> <br /> i <br /> PROJECT SC~PE: <br /> Paving: J ~ Bike lanes /paths: <br /> (widrns) (widtn) <br /> <br /> ~ Concrete walk: Setback /Curbside <br /> <br /> I l) (~en9tn) M) /1 <br /> ' Wastewater I ~ Stormwater ~ Landscaping <br /> Signal Street lights ROW required ~ <br /> i New building construction Planning, other I t l~ ~Z.r{p Remodel <br /> ~I FUNDING SOt~RCES: - <br /> City Assessments Private ~ her department <br /> ' Account code <br /> i ~ 1=ed /State ~ unty /FAA fixed) <br /> ' j <br /> t, ~ COMMENTS / SP CIAL PROJECT INFO. / INT RDEPARTMENTAL WORK DESCRIPT,,Iss~~N: <br /> ! ; <br /> I <br /> j;,,.:: <br /> { ~ i <br /> . ~ ; I APPROVED: I~ ~ ` <br /> I ~I Project Mana~er Date l~~~J~,t`' <br /> Principal Engireer Date ~~~~`i <br /> ' ~ Facilities Mange Date <br /> ' f <br /> City Engineer - Date i~ ~i G <br /> j <br /> I! FOR USE BY ADMINISTRATION ONLY <br /> 2 ~j <br /> Capital Projec No. ~ ~ ACK ~ J~ ~Qxx Xu ~ ~ ~1 2-~ <br /> j <br /> GL Title r ~J''1 ~ n <br /> ii <br /> ~ Assigns b Date ' <br /> ~ I <br /> ~I .Accounting bye Date <br /> I <br /> I I <br /> ' AT'~ACHMENTS:~ <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget W©rksheet ~'jEngineering Agreement ? Engineering Service Work Request <br /> ~ ? City Engineer's Initiating Order ,Public Improvement Permit Application ? Map <br /> ! 'File Request Farm ~ q~' w <br /> I ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDE, NROD /Project Manager FEBRUARY2002 <br /> <br />