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,,,.--t. <br /> ~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 858 Pearl <br /> 3 Eugene, OR 97401 <br /> / ~ (541) 682-5291 <br /> Service ID: ~Q/ p C//~ SID PB _ GL _ JC JE <br /> Project title: K ~ <br /> (location escri ) <br /> SGO a S ~ <br /> Project mane er /contact /private engineer: <br /> 9 <br /> PROJECT SCOPE: ~ ~ <br /> Paving: Bike lanes /paths: <br /> /Widths) <br /> Concrete walks; Setback /Curbside <br /> /l (~enytn) ~itn/// <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights n 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 / SPffCIAL PR JECT INFO. / INTERDEPARTMENT WORK DESCRIPTION: <br /> ~ -~---~..~~-rl- ~ r .se STS --3a~ . <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer, Date t <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> ~#1?! ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget VMlorksheet 'Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE / Finance YELLOW / AdminlstraUon FlIe PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />