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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i, ~ ~ City of Eugene <br /> / 858 Pearl <br /> ACC SS Eugene, OR 97401 <br /> '_r (541)682-5291 <br /> . Service ID: ??,qq SID PB v GL JC ~ JE <br /> Project title: r ~~6 <G ~ ~vli(. ~ ~ 0~ J ~"'i l,d~'~ <br /> (location and wodc description) <br /> ~ arc, ~ ,L.p <br /> Project manager /contact /private engineer: ~0{~N '~'t,~1~~:3~~.~j~L~-~ s~(~--~ 1 I <br /> <br /> 'I <br /> PROJECT SCOPE: I ` i <br /> I Paving: Bike lanes /paths: <br /> (widths) (width) <br /> i~ Concrete walks: Setback /Curbside <br /> (length) (Wjdth) <br /> Wastewater Stormwater 7~7~~ i ~ Landscaping <br /> C 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 /> - ~ Cat n~l~ ~s G~f 11~~~LS G~~~..~~._._. <br /> i <br /> i <br /> E <br /> i <br /> <br /> ' APPROVED: <br /> Project Manager -e~---c~~ ~ Date <br /> Principal Engineer ~ ~ 1`'' Date <br /> Facilities Manage Date <br /> City Engineer Date ~~I t ~ ~ D `Pi <br /> FOR USE BY ADMINISTRATION ONLY <br /> 371 Z ~ 7J 1 X13 Z~ <br /> Ca ital Project No. ~ J ~OX~ X ~ <br /> P 1 ACK S~ L <br /> GL Title E`lD ON1 ~e ~~.Le~1t°. <br /> Assigned by Date ~ Z ' 2~ ` D <br /> Accounting by f Date ~ 2- ~ " <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 /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />