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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: ~ ~ ~ SID PB GL~ JC JE <br /> I i <br /> ~ Project title: _ 3 i ~,G `~..~-~-~-~-r-~ <br /> (location and work descdption) <br /> Project manager /contact /private engineer: ~ ~ ~ ~ ~ ~ ~r <br /> ~ . PROJECT SCOPE: f ( <br /> Paving: ~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Sel tback /Curbside <br /> y _ Ef L c Oengtn) C( (widtn) d <br /> Wastewater ` Stormwater jG 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 /> l <br /> i <br /> APPROVED: <br /> Project Manager ~ I c~..rYA,~ ~ Date <br /> Principal Engineer ~ ~ Date j 2 ~ ~ <br /> i~ 0 Z@ ~ <br /> Facilities Manage Date <br /> i <br /> City Enginee ~ Date / r~z 3~~0 `F-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. <br /> GL Title <br /> Assigned y Date <br /> Accounting by 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 ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> <br /> i <br /> ENG 415 WHITE / Finan`c~e YELLOW /Administration File PINK /Engineering File GOLDENROR /.Protect Manager , • FEBRUARY2002 <br /> <br />