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PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> City of Eugene <br /> 858 Pearl <br /> - Eugene, OR 97401 <br /> / (541)682-5291 <br /> Service ID: r~ SID PB GL JC/ JE <br /> Project title: ~"~f <br /> l <br /> L~ ` /C~~/ <br /> (location and work sc ' lion) <br /> Project manager /contact /private engineer: ~ L-' ,S' <br /> ~ PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widtn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> I <br /> FUNDING SOURCES: o,,. <br /> I City Assessments Private J~ Other department <br /> i <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> I COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> 9e,~~'a~hS-~:S ar L'%''~/ ~1'd%I F'~ >r 1'~'.~~..~~'~,L~,9~ <br /> /3{~ ~~~1 <br /> / ..5`~%~ <br /> ! _0 <br /> s <br /> APPROVED: <br /> Project Manager ~E=~~'~ Date <br /> Principal Engineer Date <br /> I Facilities Manager Date <br /> City Engineer Date ~ ~ <br /> ~dZ <br /> i <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ / ~ I~ ACK ~ ~i ~ ~~'1 <br /> GL Title , <br /> a <br /> <br /> ~ Assigned b ~ Date <br /> Accounting by Date <br /> ~ ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> j <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> i, 1}- - <br /> <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />