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' PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> ~ City of Eugene <br /> ~ 858 Pearl <br /> n^~ - Eugene, OR 97401 <br /> f-~c~-~ - / (541) 682-5291 <br /> ' Service ID: ~ ~ SID ~ PB V GL ~ JC/ JE <br /> I <br /> j Project title: ~O ~ ~ ! J ~r- <br /> ~ (location and work description) _ <br /> Project manager/contact/ private engineer: ~ ` ~3', <br /> I <br /> PROJECT SCOPE: ~ <br /> i Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> ~ Concrete walks: Setback /Curbside <br /> <br /> ~ ®i (length) )~idth) <br /> Wastewater Stormwater ~ Landscaping <br /> Signal Street lights ROW required <br /> <br /> j New building construction Planning, other Remodel <br /> <br /> i <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 /> APPROVED: l~ <br /> Project Manager Date U <br /> Principal Engine Date <br /> Facilities Manager Date <br /> City Engineer ~ Date /a//~/~Z <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. .~`~~l Z~ ACK ~ 3 I ~ 3 ~XkX X ~ ~ <br /> GL Title a~Dd ~~5~d e~ <br /> Assigned by Date ~ ~ ' ~ ~ ° <br /> Accounting by ~ Date <br /> ATTACHMENTS: <br /> ' ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget WorksheetEngineering Agreement ? Engineering Service Work Request <br /> Ity Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /.Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />