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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~-52 <br /> ,1w <br /> Service ID: SID ~PB ? GL ? JC ~ JE{~~~. ? l~?+r'- <br /> Project title: ~-~'i'~~ _ ~P~^~ <br /> (location and ork d scri hon ~ d e ` A y~~-,~ ~ <br /> <br /> ~ Project manager /contact /private engineer: ~,~t~i~J ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: s Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <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 /> f i <br /> t-- (/d <br /> s`~'t? ref ~-~C~ ~ C~ ` d61 <br /> i <br /> i <br /> i <br /> i <br /> APPROVED: _ q o _ <br /> 'Project Manager ~'+r' ~ ~a Date ~ ~ ~ ~ ~ <br /> r' <br /> Principal Engineer Date <br /> E Facilities Manager Date <br /> City Engineer ~ Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. s ACK f ~XX~X y~ <br /> GL Title ~~~G?~7'L~-~~~ <br /> Assigned by 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 blic Improvement Permit Application ? Map <br /> mile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File .PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />