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. <br /> • 4 <br /> PROJECT AUTHORIZATION FORM 9 <br /> Engineerin <br /> Public Works <br /> z <br /> ~ City of Eugene <br /> ' 858 Pearl <br /> ~ Eugene, OR 97401 <br /> Service ID: , / (541) 682-5291 <br /> SID Pg ~GL ~jC ~ JE <br /> Project title: ~ <br /> (locat~an and work descnpt~on) <br /> i <br /> j. <br /> Project manager /contact /private engineer: _ {1~~8 t'i1,~ ~L°'~1J~~~ ~ ~ ~-~j <br /> t <br /> PROJECT SCOPE: <br /> ~ Paving: ~ ~ ~ <br /> (widrns) Bike lanes /paths: <br /> Concrete walks: (wrdrn) <br /> i <br /> j p I (length) Setback /Curbside <br /> Wastewater Stormwater ~-d~~ <br /> Landscaping <br /> ~ Signal Street lights ROW required <br /> New building construction Planning, other~.~~®~`~I(~ <br /> Remodel <br /> i <br /> FUNDING SOURCES: <br /> i <br /> City Assessments Private_~, Other department <br /> Account code <br /> Fed /State /County /FAA <br /> fixed) <br /> COMME TS./ SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> G ~ k <br /> ~ <br /> k <br /> i <br /> i <br /> i. <br /> APPROVED: _ ~ <br /> C1ri ~ SU! i <br /> Project Manager ~c~c~r. ~ 3 <br /> Date <br /> Principal Engineer ~ ~ ~ ~ p3 <br /> r Date i <br /> Facilities Manage Date <br /> <br /> ~ City Enginee <br /> Date 7_ G <br /> ~ <br /> f <br /> FOR USE BY ADMINISTRATION ONLY~~~~ <br /> e?~ ] ~y <br /> Capital Project No. I~ ACK ~..~1 it 3~~ ~7~~ <br /> i <br /> i <br /> GL Title _ 1 Vim' ~~C, ~ <br /> Assigned b <br /> Date ~ ~ <br /> Accounting by <br /> Date I, <br /> €I <br /> - ATTACHMENTS: <br /> r <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Engineering Agreement <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? M Pineering Service Work Request ~ . <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> I <br /> <br />