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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i City of Eugene <br /> ~ ~ ;Q.,.~-~ ~ 858 Pearl <br /> ' ' ~ Eugene, OR 97401 <br /> Service ID: ~ (541) 682-5291 <br /> SID PB ~ GL 9t! JC ~JE <br /> Project title: i~~.~.~ ~ ~~f ~ t"'C ~ <br /> (locahwo desrgptign), - a ~ ~ ~ q , <br /> Project manager /contact /private engineer: fit' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> fl (length) (width) <br /> Wastewater ~ Stormwater ~L"~ Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other' Remodel <br /> FUNDING SOURCES: <br /> ~ City Assessments Private _ Other department <br /> I; Account code <br /> Fed /State /County /FAA fixed) <br /> ~ COMMENTS /SPECIAL PROJEC INFO. / INTERDEPARTME TAL WORK DESCRIPTION: <br /> t <br /> E ' <br /> <br /> I , ; ins ~ i ~ ~{~~vt~C~ ~ ~C,~~~~~~ 1o'V <br /> APPROVED: ~ e-+t"- '~Qra? lu 5 <br /> Project Manager ~ Date ~ ~ O 3 <br /> Principal Engineer~~~6~-~~~- Date ~ ~ <br /> Facilities Manager ~U / _ Date <br /> City Engineer ~ Date_r~~l1CG <br /> FOR USE BY ADMINISTRATIO>N~~~ONLY e~ <br /> Capital Project No. ~ ~ I ACK ~ ~ ~ (!r>~x-x <br /> GL Title ~~r~ ~~'f'-l Y Y7' <br /> Assigned b Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> r ? 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 ? Mai g -1 ~ ~ ~ 0 ~ ; ~ 3 <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />