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. . . . <br /> s :r <br /> f PROJECT AUTHORIZATION FORM ~~`~~1~` Engineering <br /> Public Works <br /> 1 <br /> City of Eugene <br /> I g 858 Pearl <br /> ' ~ ~b ~V" Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: ~ ~ ~ SID ~B GL ~ JC ~ JE <br /> ~T <br /> i Project title: r~_~- ~/vt~~/t~,~~~ Z'~' ~ <br /> (location work d scnpt ) <br /> ) <br /> Project manager /contact /private engineer: ~ i? ,~,1~~ 1. ALL. ~ ~J' <br /> ! PROJECT SCOPE: 1 j <br /> ~ Paving: _ ~ ~ Bike lanes /paths: <br /> (widrns) (wlarn/ <br /> ~ Concrete walks: Setback /Curbside <br /> I ~ fl Oength) (width <br /> Wastewater Stormwater I~ ® i <br /> 1/) ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~t~ ~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM ~N ~ /SPECIAL PRO ~E~~C~O~IUNTERDEPARTMENTAL WORK ESCRIPTION: <br /> 1.. 1~' <br /> ~ <br /> I <br /> f <br /> <br /> 3 <br /> <br /> ~ APPROVED: <br /> Project Manager Date ~Z <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Enginee ~ Date ~ 2.__ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~7~~ ~ ACK _ ~T 7 <br /> GL Title ~ C1/Ql.~` ~ 0 , <br /> Assigned by Date ~ ~ <br /> Accounting by ~'~-~i`~ Date / ~J b G`~c~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? 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 /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />