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PROJECT AUTHORIZATION FORM Engineering <br /> / Public Works <br /> City of Eugene <br /> 858 Pearl <br /> r Eugene, OR 97401 <br /> Service ID: 9/~ ~ / ~ ~ (541) 682-5291 <br /> SID PB GL JC _ JE <br /> Project title: <br /> (location and wodc ascription) <br /> Project manager /contact /private engineer: ` <br /> i. PROJECT SCOPE: <br /> Paving: <br /> ~ (wldtns) Bike lanes /paths: <br /> Concrete walks: (wldrn~ <br /> ~ pangtn) (wldrn/ Setback /Curbside <br /> Wastewater Stormwater <br /> Landscaping <br /> Signal S r <br /> t eat li h <br /> is <br /> g ROW re uired <br /> q <br /> New building construction <br /> Planning, other Remodel <br /> i <br /> ~ FUNDING SOURCES: <br /> <br /> I <br /> Clty Assessments Private__~_ Other department <br /> Account code <br /> Fed /State /County /FAA <br /> ( fixed) <br /> CO(/M~ MENTS / SPECI L PROJECT INFO. / INTERDEP RTMEN'[AL WORK DESCRIPTION: <br /> V V W V,r <br /> ~__-i~~_~-~ <br /> APPROVED: <br /> Project Manager S~ ~ Date ~ ~ z <br /> Principal Engineer Date d <br /> Facilities Manager Date _ _ <br /> City Engineer Date ~~z~-r y~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~r~ ~ ~ i <br /> ~ ~ ~ ACK ~3 <br /> ~1 <br /> GL Title <br /> o <br /> Assigned by Date ~ <br /> Accounting by <br /> Date <br /> I <br /> ATTACHMENTS: <br /> r' <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 ? Map ~ <br /> ileRequestForm 05-01-03A0€3:04 RCVD <br /> E <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> t <br /> E <br /> - I <br /> <br />