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I F <br /> F <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> y _ City of Eugene <br /> i ~ 858 Pearl <br /> Eugene, OR 97401 <br /> / . ` r ~ (541) 682-5291 <br /> Service ID: ~.J SID PB GL % JC ~ JE <br /> Project title: <br /> (location an rk description) qq g~ ~ ~ / <br /> ~ ~ <br /> i Project manager /contact /private engineer: G'' ?t , <br /> i <br /> PROJECT SCOPE: ~ <br /> 1 <br /> Paving: ~ C' (widens) c ~ Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> t ((length) !width) f ~ <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other " Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~7~ Other department <br /> Account code <br /> I Fed /State /County /FAA fixed) <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ® <br /> I <br /> I <br /> I APPROVED: <br /> Project Manager dl+- ~ SG t Date 2~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date _ <br /> <br /> ~ City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ` ACK `9 ~ <br /> GL Title <br /> Assigned b Date ~~~~y. L__ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~ . <br /> { . ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet >~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map 0 ~ -01 -0 3 A 0 0 : 0 4 R 0 V D <br /> 'ile Request Form <br /> ENG 415 WHITE /Finance YELLOW / Administr~t~n llgl /~l~n~ne27~tg F~ `~gLDENROD /Project Manager FEBRUARY2002 <br /> <br />