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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~,j~ 858 Pearf <br /> / i ~ ~ ~ Eugene, OR 97401 <br /> (~.r~ , / ~ / (541) 682-5291 <br /> Service ID:_ ~ SID'° PB Y GL V JC~ JE <br /> I Project title: ~ r V ~.~"S t~:~' a ~ ~ ~ ! V <br /> _ Qocah nd work desc pion <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: pp~~ <br /> Paving: cl'71.m. ( Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater ~ Landscaping <br /> I <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 /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> 4 <br /> APPROVED: <br /> Project Manager - + Date ~ ~ ~ ~ ~ <br /> Principal Engine a (p ~ Q " <br /> ~ Date <br /> Facilities Manage Date <br /> City Engineer r Date G~a~Oz <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~99 ~ ~ ACK ~ ~l ~Js 9 <br /> GL Title ~ ~ l?t ~~./'f <br /> Assigned b 4 <br /> Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> i ? 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 ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> 06-15-03A07~~5 RCVD <br /> <br />