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_ <br /> i <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> / City of Eugene <br /> ~'e... V 858 Pearl <br /> Eugene, OR 97401 <br /> Service ID: (541) 682-5291 <br /> SID PB ~GL ~JC ~ JE <br /> ' l ill r~ ~ <br /> Project title: <br /> (lac do an rk dB5 'lion ~ ~ ~ ' <br /> Project manager /contact /private engineer: ~lJ~ <br /> PROJECT SCOPE: <br /> Paving: widtns) Bike lanes /paths: <br /> (wiarn) <br /> f Concrete 'V Setback /Curbside <br /> (length) (width) <br /> j Wastewater Stormwater Landscaping <br /> Signal Street lights ~ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDIN SO RCES: <br /> City Assessments Private Other department <br /> j Account cod's <br /> <br /> j Fed /State /County /FAA fixed) <br /> <br /> i <br /> COM ENTS~ SPECIAL P OJ CT NFO. / INTERDEPA ~ ENTAL WO K DESCR ION: ' <br /> ' ~ <br /> APPROVED: t~ <br /> .x Project Manager Date 6 <br /> Principal Engine Date <br /> Facilities Manager ; ~ Date <br /> x City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~4~9 ~ ACK 3 ~~.30~ 7,,~ So~~y <br /> GL Title I 1 ~ ~ ~ i . ~ i4-i'1(.~- <br /> Assigned Date ~ /c.~~ <br /> Accounting b ~ Date <br /> y~ <br /> A]'TACHMENTS: <br /> i~ 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 ? Public 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 />