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a~ ~ b~~ ~i <br /> PROJECT AUTHORIZATION FORM Englneering <br /> ' ~ <br /> Public Works <br /> i City of Eugene <br /> t' /~~,{~Q,~ 858 Pearl <br /> I ; <br /> Eugene, OR 97401 <br /> (541)682-5291 <br /> ~ Service ID: ~ SID ~PB GL JC ~JE <br /> Project title: ~ <br /> (location and ork scdptian) <br /> ~ i <br /> Project manager /contact /private engineer: ~ <br /> ti <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> I (length) . (width) l/ <br /> Wastewater Stormwater t~ Landscaping <br /> Signal Street lights 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 /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ ~ ~ t ~ ~ ~ Res ~ <br /> 1 ~ ~ <br /> if <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ~ <br /> j Facilities Manager Date <br /> City Engineer Date G ~7 <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~ 3 ~ (p)CXXX 3 /~O~OQ <br /> GL Title ~l,[ ~eL~IGYY~ ~~(i~Q~S <br /> f <br /> Assigned by Date ~ f ~ D Z--- <br /> Accounting by ~ >(i%~t~ Date r ~ <br /> ATTACHMENTS: <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 ublic Improvement Permit Application ? Map <br /> ? File Request Form <br /> ~~,,~ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> ~~~°y~ <br /> <br />