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s _ <br /> t • ; <br /> 3 , <br /> PROJECT AUTHORIZATION FORM ~ ~ Engineerin <br /> . ~ ~ g <br /> Public Works <br /> y, <br /> ~ ~ City of Eugene <br /> ' 858 Pearl <br /> / ~ Eugene, OR 97401 <br /> Service ID: J ~ ~ (541) 682-5291 <br /> SID- PB - GL JC ~JE ~1 <br /> Project title: <br /> (location nd or des riotfon <br /> Project manager /contact /private engineer: <br /> ~ ~ ~ ~ <br /> PROJECT SCOPE: 9 <br /> Paving: <br /> ! (widrns) Bike lanes /paths: <br /> Concrete walks: (wldrn~ <br /> j ~ <br /> nyrn~ <br /> b ~ Setback /Curbside <br /> Wastewater _ (W'drpl fF; / <br /> -T-- Stormwater G l.~ <br /> Landscaping <br /> Signal Street lights <br /> ~ ROW required <br /> New building construction <br /> i Planning, other ~ Remodel <br /> FUNDING SOURCES: <br /> i <br /> City Assessments Private <br /> Other department <br /> Fed /State /County /FAA Account code <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENT L WO K DESCRIPT ON: ~ fixed) <br /> APPROVED: <br /> Project Manager <br /> Principal Engineer Date fi <br /> Facilities Manager ' ° ~ ~ ~ Date - <br /> City Engineer ~ Date i <br /> r <br /> Date c <br /> - ~ <br /> FOR USE BY ADMINISTRATION ONLY ~ <br /> ~ 7 7~' <br /> Capital Project No. ACK ~ }f ~l~ ~ ~X~C~ ~C ~~i <br /> i <br /> GL Title ~ <br /> i <br /> Assigned by H ~ a ~ <br /> « Date j <br /> Accounting by , <br /> U Date ~ ~ c~ <br /> c <br /> ATTACHMENTS: <br /> ? Budget Estimate <br /> ? Developer Agreement ? Engineer's Report On Improvement Petition I <br /> ? SDC Budget Worksheet ngineering Agreement <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application M pineering Service Work Request <br /> ile Request Form <br /> i <br /> y~~ (I ENG 415~(~/ WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 ~ <br /> I <br /> <br /> ~Wa ,lf~'~sp~. ~ ~ ~ ~ <br /> <br />