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_ <br /> ' " ` Engineering <br /> `PROJECT AUTHORIZATION FORM ~ + Public Works <br /> City of Eugene <br /> 1 858 Pearl <br /> Eugene, OR 97401 <br /> ~-^'4.' ~ (541) 682-5291 <br /> Service ID: ~ SID PB GL JC J~ <br /> ~ ~ + ~~Gt (71f ~ j e ~ <br /> vrG~ ~U ram C_.~... <br /> ~Y~eS~P n <br /> ~ Project title: <br /> Qocetion work description) <br /> v i ilv~ ~'C. w ~'o ~ -4~ ~ ~ 1 <br /> i <br /> Project manager /contact /private engineer: ~ ~ Y'(l S <br /> <br /> i I <br /> i PROJECT SCOPE: ~ <br /> I Pavin ~ ~ Bike lanes /paths: <br /> i g' (widrns) (widrn) <br /> ~ ~ Concrete walks: Setback /Curbside <br /> (length) (width) t~ /t <br /> ~ Wastewater ~ Stormwater ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> I! ~ FUNDING SOURCES: v <br /> City Assessments Private Other department <br /> f Account code <br /> ~~ra- , _ ~ ~ed /State /'aunty /FAA fixed) <br /> j 'COIIAMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 <br /> i 1 <br /> i <br /> ~ <br /> } { !APPROVED: <br /> ,Project Manager ~ ~ Date C' \ <br /> Principal Engineer ~ ~ Date <br /> Facilities Manager - Date <br /> City Engineer ~ Date ~ ~ `j/`~ <br /> i <br /> FO2Rr~U~S(E BY ADMI//N,w,ISTRAT~IcO,.N O/N~LY <br /> ,Capital Projec', No. ~ " / `f3~ " ACK iilJ~~ f `,-4'~~~c`- ~3Z. 1 <br /> .l~ <br /> ~ ~ ~,f ~ <br /> 'GL Title ~°J~-~`Y 1' ~ ° " <br /> S l/ <br /> 'Assigne by Date <br /> ~ Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet J$~ngineering Agreement ? Engineering Service Work Request <br /> ~ ? City Engineer's Initiating Order ~9ublic Improvement Permit Application ? Map <br /> File Request Form <br /> i ~ ~ ~I~t~ <br /> I ENG 415 WHITE /Finance YELLOW /Administration File P K /Engineering File GOLDENROD /Project Manager FEBRUARY2ooz <br /> 1 _ . <br /> <br />