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1 F. <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> / City of Eugene <br /> . n~ ~ 858 Pearl <br /> <br /> ~ ~ , /"'f ...rrrLLLL.__ Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: ~ ~ SID a PB ~ GL ~ JC ~ JE <br /> Project title: ~ ~'~1 <br /> (locatio, n end w description] <br /> Project manager /contact /private engineer. T~r'1 ~ Vl -C' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> f ~ (length) (width) 1 <br /> Wastewater ~ Stormwater Landscaping <br /> 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 /> COMIMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> 5~ l~A I ~ r <br /> ~ i1?~ ~ <br /> APPROVED: <br /> Pr e t qq~er Date <br /> P~~~nIeA1 Date ~ <br /> Fac~tie~YMa~n <br /> ge <br /> ~ Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ / ACK ~XxXK ~7Y/~ <br /> GL Title f ~'~/?~I ~ errs ?"/~C <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 Public Improvement Permit Application ? M~p3-23-03A08 ~ 00 RCVD <br /> ~`~File Request Form <br /> E//NG 415 WHITE /Finance YELLOW /Administration Fle PINK / Engine~i~g"1 <br /> d'fe~ 'f8L'~1~f <br /> 1~t~1~ QFQoje~ ~ll~~ger FEBRUARY2002 <br /> <br />