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- <br /> 3 <br /> PROJECT AUTHORIZATION FORM Publ c Wor <br /> k <br /> City of Eugene <br /> 858 Pearl <br /> - - Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: ` ~ SID ~PB GL ~ JC ~ JE - <br /> Projecttitle: ~V N ~ ~ d <br /> (location an~vo-~ rk description) - J-~ ~O ^ t , ~ ~ , ~-r-~~T UGC t-eT~ <br /> 5 <br /> L <br /> L <br /> project manager /contact /private engineer. ~ N 1 r <br /> PROJECT SCOPE: ' ~ <br /> I Paving: ~ Z~ Bike lanes /paths: <br /> (widrn) <br /> (w~drns) <br /> Concrete walks: Setback /Curbside <br /> y [l~ngth) (width) <br /> Wastewater h ~ $ ` Stormwater ~~w2 <br /> ~_ST~g Landscaping <br /> Signal Street lights ~l ROW required <br /> New building construction Planning, otherSTo2' t Remodel <br /> FUNDING SOURCES: <br /> f <br /> City Assessments Private.__~_ Other department <br /> r Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 M SrJvG4' ~~EtIG tN ol\/ <br /> 21 ` 1.t70 ti~ v ~ vTv~R. ~ <br /> APPROVED: ~ ~ ~ A.- - ~ ~ i'~.. ~lDate <br /> Project Manager - ' , ~ ` <br /> Principal Engineer Date <br /> I Facilities Manager Date <br /> Date ~C~61o7 <br /> City Engineer <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> i Capital Project No. <br /> ' ~iv's~- C~4 arc i <br /> GL Title <br /> Date ~ ~ <br /> Assigned by <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> f ~ ' ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> <br /> • <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 G06DENROD /Project Manager FEBRUARY 2002 <br /> <br />