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PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> i <br /> j City of Eugene <br /> I 858 Pearl <br /> Eugene, OR 97401 <br /> ~ (541) 682-5291 <br /> Service ID: ~ SID ~PB GL ~JC E <br /> J <br /> Project title: <br /> (location rk e c p io ~ ~ ~ ,pe,,~ ~ , <br /> Project manager /contact /private engineer: %~~1 ~ l ~i~-'~~ 4°~~ «"~-P <br /> PROJECT SCOPE: j ~ j <br /> Paving: t Bike lanes/paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> LI (length) dwidth) c..~ <br /> Wastewater ~ $tormwater ~d ~ / 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 /> <br /> i <br /> <br /> r <br /> <br /> i <br /> APPROVED: _ <br /> Project Manager ~ Date ~ ~ ~ 2 ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Enginee Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ` ACK ~ ' I ` (D~~~ <br /> GL Title VV ~I~~,~ I ~ <br /> Assigned bts-~.~-~~~ Date 1! Z~ f <br /> Accounting by Date <br /> ATTACHMENTS: <br /> t I ? 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 /> File Request Form ` <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />