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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~~5 City of Eugene <br /> i i'~"~ ' n 858 Pearl <br /> F ~ Eugene, OR 97401 <br /> <br /> . i IlY" <br /> j Service ID:- rr (541) 682-5291 <br /> ~ j SID ? PB ~ GL ~JC V JE <br /> j Project title: f~L~y~~ <br /> ~ (loc hon nd work description) <br /> ~ ~/~~ST~ 1/1/x` <br /> l <br /> ~(Z-_. ~ 1~ <br /> 1 <br /> t~ ~2. eM.1~ <br /> }~[~__~1~ ^ ~t <br /> Project manager /contact / rivate en meer: <br /> P 9~ ~1"1 icr ~ t't ~~--Pr~~"~ ~y~a~ 0 v' b~ r`"~,~. <br /> PROJECT SCOPE: <br /> i <br /> Paving: (widths) Bike lanes /paths: <br /> ~ Concrete walks: Setback /Curbside (w;arn) <br /> (length) (width) ~ ~l ) <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 /> j Account code <br /> j Fed /State /County /FAA fixed) <br /> r COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTIO <br /> APPROVED: <br /> Project Manager Date - <br /> Principal Engineer ~ ~ Date ~ ~ <br /> Facilities Manage Date <br /> City Engineer ~~U Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 1 ~ I ACK ~J~ ~f1~SC~fJC,~ / <br /> GL Title t <br /> Assigned y Date ~~y~ <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 ? Map <br /> File Request Form <br /> ENG 415 Q ~ _~I~ITF~7~ir~ijd~ : ~,~yLOCIUQ~d~inistration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> Ob-16-O~AO'7 _56 I~CVD <br /> <br />