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ti ~ <br /> ~ PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> a /~„~(r~ City of Eugene <br /> ~f~_ ~ -~'~r 858 Pearl <br /> ~ • <br /> Eugene, OR 97401 <br /> f ~ _~S ~ / ~ (541) 682-5291 <br /> Service ID: "'i I ~PB GL ~JC t`/ JE <br /> 1 Project title:~j <br /> (location ork description) ~ M1 ? 1~/~ `~hi f <br /> K <br /> Project manager / act /private engineer: ' ~ ~ a <br /> I <br /> PROJECT SCOPE: Cl rl <br /> Paving: ~ ~ cr Bike I es /paths: <br /> ~ (widths) (width) <br /> Concrete walks: ~ <br /> r~ (len l> etback Curbside Yl <br /> Wastewater ~ Stormwa~~ ~ sl ~ ~jLandscaping <br /> Signal Street lights ROW required <br /> <br /> .I 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 /> f <br /> i <br /> r t,. <br /> E _ <br /> APPROVED: <br /> ~ Project Manager Date ~ ~ G <br /> Principal Engineer Date ~ Z <br /> <br /> j Facilities Manager ! Date <br /> City Engineer Date ~~~w~.-- <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~~~C1 ACK ~.~1 ~ ~'`'~X~ ~`~5~®~% <br /> ' GL Title <br /> Assigned by Date ~f/.3 z-~"' <br /> Accounting by Date 7 <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 /> <br />