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PROJECT AUTHORIZATION FORM Pub <br /> ~wo~g <br /> _._L..~ City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: SID PB ~GL ~JC ~ JE <br /> Project title: / <br /> ~ d«. / <br /> Project manager /contact /private engineer. ~J~ L <br /> PROJECT SCOPE: <br /> Paving: wwn,s/ ^ Bike lanes /paths: ~ <br /> Concrete Q ~ ~ ~ ''V~V X Setback /Curbside <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ~ ROW required <br /> New building construction- ~ <br /> a~_ Planning, other Remodel _~GL <br /> FUNDIN SO RCES: <br /> City Assessments Private Other department <br /> Account cod's <br /> Fed /State /County /FAA fixed) <br /> COM ENTS / SPECIAL P OJ CT NFO. / iNT RDEPA T)IAE L WO K DESCR ON: ' <br /> ~ I <br /> APPROVED: 7 <br /> x Project Manager Date ~ <br /> ~~'~J <br /> Principal Engine Date <br /> Facilities Manager Date <br /> X City Engineer pa1e 4/zz (o ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. Q~529 ~ AcK 33 3 433a ~173s' 93 sa9y <br /> GL Title ' I 1 1~ L i ~ 14 Ll <br /> e Date ~ ~ d~ <br /> Assigned <br /> ` Date <br /> Accounting b <br /> A ACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Fiie GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />