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~ <br /> ngineering <br /> PROJECT AUTHORIZATION FORM ~~l~~i~ <br /> Public Works <br /> 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: ~ r ~ ~ ~A__ ~ ~ ~ ~ 0 <br /> (loc ' n nd wa descrip 'on) <br /> ~ Project manager /contact /private engineer: ~ - l ~ / (J ~ ~ <br /> PROJECT SCOPE: ~ <br /> I <br /> Paving: ~ ; ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> r~ rl tf n ) ~ /~h1 ` / lI dA <br /> Wastewater / ~ tormwater ~ ~'7 Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> i <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CO MENTS /SPECIAL PROJECT INFO. INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ <br /> I ~ ~ t>~ ~ L? - <br /> I <br /> ~1"U ~e..- ~~t"~--~C~ ll ~~N <br /> <br /> 4 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date ` ~ <br /> Facilities Manage Date <br /> City Enginee Date r~~©~- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ 7 C~ ~ ~ ACK l0 31 g337~ (O)C~C~C x 3 ~ ~j~d(o t~ <br /> GL Title / / I~~- ~~I'M~.B'f~ f il~~ <br /> Assigned by Date ~8 DZ• <br /> ~.w ' , p <br /> Accounting by `r~~L Date ~ <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 ? Public Improvement Permit Application ? Map <br /> `ile Request Form <br /> ®®ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />